| Oak Heart Counseling Pllc | |
|
1057 Bullard Ct Suite B Raleigh NC 27615-6801 | |
| (919) 855-1156 | |
| Not Available |
| Full Name | Oak Heart Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1057 Bullard Ct, Raleigh, North Carolina |
| Authorized Official Name and Position | Jessica Ann Frawley (OWNER) |
| Authorized Official Contact | 9198412592 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Heart Counseling Pllc 5405 Royal Troon Dr Raleigh NC 27604-5885 Ph: (919) 841-2592 | Oak Heart Counseling Pllc 1057 Bullard Ct Suite B Raleigh NC 27615-6801 Ph: (919) 855-1156 |
| NPI Number | 1851799233 |
|---|---|
| Provider Enumeration Date | 12/16/2014 |
| Last Update Date | 11/17/2015 |
| Medicare PECOS PAC ID | 6901106327 |
|---|---|
| Medicare Enrollment ID | O20151207002492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851799233 | NPI | - | NPPES |
| 6106911 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C005987 (North Carolina) | Primary |
| Provider Name | Jessica A Frawley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619153764 PECOS PAC ID: 3375618291 Enrollment ID: I20080812000434 |
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