| R10 Counseling Pllc | |
|
3602 Roseheim Ct Greensboro NC 27405-4973 | |
| (336) 257-5147 | |
| Not Available |
| Full Name | R10 Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 3602 Roseheim Ct, Greensboro, North Carolina |
| Authorized Official Name and Position | Victoria Lewis (OWNER) |
| Authorized Official Contact | 3362575147 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| R10 Counseling Pllc 3602 Roseheim Ct Greensboro NC 27405-4973 Ph: (336) 257-5147 | R10 Counseling Pllc 3602 Roseheim Ct Greensboro NC 27405-4973 Ph: (336) 257-5147 |
| NPI Number | 1871307439 |
|---|---|
| Provider Enumeration Date | 02/04/2025 |
| Last Update Date | 02/04/2025 |
| Certification Date | 02/04/2025 |
| Medicare PECOS PAC ID | 5698209435 |
|---|---|
| Medicare Enrollment ID | O20250219002672 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871307439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Victoria Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013359454 PECOS PAC ID: 6800158866 Enrollment ID: I20180403001008 |
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