| M&t Counseling Services Pllc | |
|
608 Jackson St Ste 216 Roanoke Rapids NC 27870-2600 | |
| (252) 676-2656 | |
| (252) 541-3111 |
| Full Name | M&t Counseling Services Pllc |
|---|---|
| Speciality | Counselor |
| Location | 608 Jackson St Ste 216, Roanoke Rapids, North Carolina |
| Authorized Official Name and Position | Travis Antonio Shoulars (OWNER/CEO) |
| Authorized Official Contact | 2526762656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M&t Counseling Services Pllc 46 Camden Court Roanoke Rapids NC 27870 Ph: (252) 676-2656 | M&t Counseling Services Pllc 608 Jackson St Ste 216 Roanoke Rapids NC 27870-2600 Ph: (252) 676-2656 |
| NPI Number | 1811693153 |
|---|---|
| Provider Enumeration Date | 02/07/2023 |
| Last Update Date | 10/23/2023 |
| Certification Date | 10/23/2023 |
| Medicare PECOS PAC ID | 5294171831 |
|---|---|
| Medicare Enrollment ID | O20240306001289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811693153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Travis Antonio Shoulars |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528555398 PECOS PAC ID: 6103262746 Enrollment ID: I20240306001625 |
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