| Painting Miracles Inc. | |
|
1248 Fort Bragg Rd Ste 200 Fayetteville NC 28305-4982 | |
| (910) 339-2121 | |
| (910) 229-3331 |
| Full Name | Painting Miracles Inc. |
|---|---|
| Speciality | Counselor |
| Location | 1248 Fort Bragg Rd Ste 200, Fayetteville, North Carolina |
| Authorized Official Name and Position | Carmelita Tiburcio Bigelow (PSYCHOLOGIST/CEO) |
| Authorized Official Contact | 9107774887 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Painting Miracles Inc. 1248 Fort Bragg Rd Ste 200 Fayetteville NC 28305-4982 Ph: (910) 339-2121 | Painting Miracles Inc. 1248 Fort Bragg Rd Ste 200 Fayetteville NC 28305-4982 Ph: (910) 339-2121 |
| NPI Number | 1629851605 |
|---|---|
| Provider Enumeration Date | 08/15/2023 |
| Last Update Date | 04/27/2025 |
| Certification Date | 04/27/2025 |
| Medicare PECOS PAC ID | 3476991332 |
|---|---|
| Medicare Enrollment ID | O20240410004172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629851605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Carmelita T Bigelow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477080661 PECOS PAC ID: 3971865874 Enrollment ID: I20180312001954 |
| Provider Name | Michelle Stroup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174155683 PECOS PAC ID: 2466882451 Enrollment ID: I20200414003846 |
| Provider Name | Jessica Morrison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194357194 PECOS PAC ID: 9739527698 Enrollment ID: I20240410004196 |
| Provider Name | Anfel Crews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417695743 PECOS PAC ID: 4486037173 Enrollment ID: I20240411003753 |
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