| Prodigious Counseling Services, Llc | |
|
208 N Garnett St Suite F. Henderson NC 27536-4673 | |
| (252) 433-0300 | |
| (252) 433-8054 |
| Full Name | Prodigious Counseling Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 208 N Garnett St, Henderson, North Carolina |
| Authorized Official Name and Position | Bobby Faison (PRESIDENT) |
| Authorized Official Contact | 2524330300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prodigious Counseling Services, Llc 208 N Garnett St Suite F. Henderson NC 27536-4673 Ph: (252) 433-0300 | Prodigious Counseling Services, Llc 208 N Garnett St Suite F. Henderson NC 27536-4673 Ph: (252) 433-0300 |
| NPI Number | 1831244094 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 01/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831244094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 875 (North Carolina) | Primary |
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