| Peaceful Waters Counseling And Wellness Center, P.c. | |
|
380 Caratoke Hwy Ste J Moyock NC 27958-8623 | |
| (252) 232-8086 | |
| Not Available |
| Full Name | Peaceful Waters Counseling And Wellness Center, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 380 Caratoke Hwy Ste J, Moyock, North Carolina |
| Authorized Official Name and Position | Kaylee Bynum (OWNER/ PSYCHOTHERAPIST) |
| Authorized Official Contact | 2522328086 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peaceful Waters Counseling And Wellness Center, P.c. 380 Caratoke Hwy Ste J Moyock NC 27958-8623 Ph: (252) 232-8086 | Peaceful Waters Counseling And Wellness Center, P.c. 380 Caratoke Hwy Ste J Moyock NC 27958-8623 Ph: (252) 232-8086 |
| NPI Number | 1811464332 |
|---|---|
| Provider Enumeration Date | 11/01/2018 |
| Last Update Date | 10/30/2020 |
| Certification Date | 10/30/2020 |
| Medicare PECOS PAC ID | 9335673870 |
|---|---|
| Medicare Enrollment ID | O20241106003963 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811464332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kaylee Brooke Bynum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609228287 PECOS PAC ID: 0244764785 Enrollment ID: I20241106004046 |
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