| Life Matters Centers For Hope, Health And Healing | |
|
408 Waddell Drive Fayetteville NC 28301 | |
| (910) 483-7068 | |
| Not Available |
| Full Name | Life Matters Centers For Hope, Health And Healing |
|---|---|
| Speciality | Social Worker |
| Location | 408 Waddell Drive, Fayetteville, North Carolina |
| Authorized Official Name and Position | Pearlie Mae Hodges (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9104837068 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Matters Centers For Hope, Health And Healing P.o. Box 9532 Fayetteville NC 28311 Ph: (910) 483-7068 | Life Matters Centers For Hope, Health And Healing 408 Waddell Drive Fayetteville NC 28301 Ph: (910) 483-7068 |
| NPI Number | 1245589076 |
|---|---|
| Provider Enumeration Date | 09/07/2012 |
| Last Update Date | 09/07/2012 |
| Medicare PECOS PAC ID | 8628226941 |
|---|---|
| Medicare Enrollment ID | O20120911000830 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245589076 | NPI | - | NPPES |
| 6007495 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6216 (North Carolina) | Primary |
| Provider Name | Pearlie M Hodges |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962541573 PECOS PAC ID: 6709920531 Enrollment ID: I20100217000811 |
| Provider Name | Priscilla S Burton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831142017 PECOS PAC ID: 0143544296 Enrollment ID: I20150120000328 |
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