| Irenic Therapy Pllc | |
|
227 W Morehead St Ste 230 Reidsville NC 27320-3872 | |
| (336) 908-3927 | |
| (336) 303-1535 |
| Full Name | Irenic Therapy Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 227 W Morehead St Ste 230, Reidsville, North Carolina |
| Authorized Official Name and Position | Brianna Toomes (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3369083927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Irenic Therapy Pllc 105 W Keeling Rd Greensboro NC 27410-5515 Ph: (336) 430-6706 | Irenic Therapy Pllc 227 W Morehead St Ste 230 Reidsville NC 27320-3872 Ph: (336) 908-3927 |
| NPI Number | 1700436532 |
|---|---|
| Provider Enumeration Date | 09/13/2019 |
| Last Update Date | 01/19/2024 |
| Certification Date | 01/19/2024 |
| Medicare PECOS PAC ID | 5294187803 |
|---|---|
| Medicare Enrollment ID | O20240119000688 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700436532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Brianna Catherine Toomes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225572910 PECOS PAC ID: 6103278718 Enrollment ID: I20240305003745 |
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