| Lsbf Professional Counseling Services, Pllc | |
|
250 Executive Park Blvd Ste 120 Winston Salem NC 27103-1534 | |
| (336) 266-3289 | |
| Not Available |
| Full Name | Lsbf Professional Counseling Services, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 250 Executive Park Blvd Ste 120, Winston Salem, North Carolina |
| Authorized Official Name and Position | Bryant Foriest (CEO) |
| Authorized Official Contact | 3366084037 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lsbf Professional Counseling Services, Pllc 250 Executive Park Blvd Ste 120 Winston Salem NC 27103-1534 Ph: (336) 608-4037 | Lsbf Professional Counseling Services, Pllc 250 Executive Park Blvd Ste 120 Winston Salem NC 27103-1534 Ph: (336) 266-3289 |
| NPI Number | 1497453187 |
|---|---|
| Provider Enumeration Date | 02/21/2023 |
| Last Update Date | 06/30/2026 |
| Certification Date | 06/30/2026 |
| Medicare PECOS PAC ID | 0840712162 |
|---|---|
| Medicare Enrollment ID | O20250317001348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497453187 | NPI | - | NPPES |
| Provider Name | Max Marie Mcintosh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972547941 PECOS PAC ID: 0345762662 Enrollment ID: I20250317001516 |
Disability Advocacy And Information Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8064 N Point Blvd, Suite 102, Winston Salem, NC 27106 Phone: 336-896-0900 Fax: 336-896-0901 | |
Lyfes New Direction Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 S Marshall St # 65, Winston Salem, NC 27101 Phone: 336-721-4261 Fax: 336-721-4265 | |
Evolve Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 897 Peters Creek Pkwy Ste 101, Winston Salem, NC 27103 Phone: 336-725-9135 Fax: 336-725-9139 | |
Pinnacle Family Services Of North Carolina Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4035 University Pkwy, Ste 101, Winston Salem, NC 27106 Phone: 336-397-1560 | |
Managing Overwhelming Moments, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1119 Stafford Place Cir Apt 103, Winston Salem, NC 27127 Phone: 919-218-6286 | |
Alexander Youth Network Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8025 N Point Blvd Ste 260, Winston Salem, NC 27106 Phone: 336-724-1412 Fax: 336-724-1464 | |
Daymark Recovery Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 651 Highland Ave, Winston Salem, NC 27101 Phone: 336-657-8523 Fax: 336-723-0645 |