| Integral Counseling Services, Pllc | |
|
1920 Western Trl Chapel Hill NC 27516-5005 | |
| (919) 304-5754 | |
| Not Available |
| Full Name | Integral Counseling Services, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 1920 Western Trl, Chapel Hill, North Carolina |
| Authorized Official Name and Position | Miriam Lieberman (OWNER AND CLINICIAN) |
| Authorized Official Contact | 9193045754 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integral Counseling Services, Pllc 1920 Western Trl Chapel Hill NC 27516-5005 Ph: (919) 304-5754 | Integral Counseling Services, Pllc 1920 Western Trl Chapel Hill NC 27516-5005 Ph: (919) 304-5754 |
| NPI Number | 1740617695 |
|---|---|
| Provider Enumeration Date | 10/07/2013 |
| Last Update Date | 10/07/2013 |
| Medicare PECOS PAC ID | 0042654501 |
|---|---|
| Medicare Enrollment ID | O20240223000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740617695 | NPI | - | NPPES |
| 6102891 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | S3203 (North Carolina) | Primary |
| Provider Name | Miriam E. Lieberman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124072061 PECOS PAC ID: 1951745413 Enrollment ID: I20240223000270 |
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