| Mirror 2 The Heart, Pllc | |
|
4311 School House Cmns # 178 Harrisburg NC 28075-7510 | |
| (980) 859-3331 | |
| (888) 730-1933 |
| Full Name | Mirror 2 The Heart, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 4311 School House Cmns # 178, Harrisburg, North Carolina |
| Authorized Official Name and Position | Stephanie Nichol Briscoe (CEO) |
| Authorized Official Contact | 9808593331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mirror 2 The Heart, Pllc 4311 School House Cmns # 178 Harrisburg NC 28075-7510 Ph: (980) 859-3331 | Mirror 2 The Heart, Pllc 4311 School House Cmns # 178 Harrisburg NC 28075-7510 Ph: (980) 859-3331 |
| NPI Number | 1548615917 |
|---|---|
| Provider Enumeration Date | 05/04/2016 |
| Last Update Date | 03/30/2022 |
| Certification Date | 03/22/2022 |
| Medicare PECOS PAC ID | 8729324041 |
|---|---|
| Medicare Enrollment ID | O20190108001469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548615917 | NPI | - | NPPES |
| 1689097701 | Medicaid | NC |
| Provider Name | Delores Estelle Burrill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750532461 PECOS PAC ID: 6204127087 Enrollment ID: I20160627000259 |
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