| Renew Counseling Center Of Nc Llc | |
|
2212 Hope Mills Rd Fayetteville NC 28304-4228 | |
| (910) 779-0454 | |
| (910) 491-0833 |
| Full Name | Renew Counseling Center Of Nc Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2212 Hope Mills Rd, Fayetteville, North Carolina |
| Authorized Official Name and Position | Norma Iveliss Negron (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 9107790454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Counseling Center Of Nc Llc 2212 Hope Mills Rd Fayetteville NC 28304-4228 Ph: (910) 779-0454 | Renew Counseling Center Of Nc Llc 2212 Hope Mills Rd Fayetteville NC 28304-4228 Ph: (910) 779-0454 |
| NPI Number | 1528470325 |
|---|---|
| Provider Enumeration Date | 05/28/2014 |
| Last Update Date | 10/10/2017 |
| Medicare PECOS PAC ID | 7315224680 |
|---|---|
| Medicare Enrollment ID | O20170516000477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528470325 | NPI | - | NPPES |
| 6111783 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-026-954 (North Carolina) | Primary |
| Provider Name | Deidre Newkirk Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295251973 PECOS PAC ID: 1456626340 Enrollment ID: I20171003004702 |
| Provider Name | Juanita Harding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659664324 PECOS PAC ID: 5698030203 Enrollment ID: I20180601001005 |
| Provider Name | Telisa Pharris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871944124 PECOS PAC ID: 4082964069 Enrollment ID: I20180912003457 |
| Provider Name | Beakie Colon Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083135131 PECOS PAC ID: 1254761265 Enrollment ID: I20200415000569 |
| Provider Name | Lauren Hailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548895451 PECOS PAC ID: 1850721580 Enrollment ID: I20200421002382 |
| Provider Name | Sandra Gail Kolb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790452076 PECOS PAC ID: 2163829508 Enrollment ID: I20210927003443 |
| Provider Name | Kimberly Lynette Mcallister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265194682 PECOS PAC ID: 4385039379 Enrollment ID: I20220309001134 |
| Provider Name | Madeline A Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720714512 PECOS PAC ID: 2769854322 Enrollment ID: I20230207002858 |
Securehands Behavioral Health Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2827 Arlington Ave, Fayetteville, NC 28303 Phone: 910-987-9430 Fax: 910-868-6181 | |
Mid-south Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Hope Mills Rd, Fayetteville, NC 28304 Phone: 757-541-4816 | |
A Work In Progress Therapies, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 Bingham Dr, Fayetteville, NC 28304 Phone: 910-483-8713 Fax: 910-483-0962 | |
Nc Therapy And Counseling Services Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 916 Arsenal Ave Ste B, Fayetteville, NC 28305 Phone: 910-263-5475 | |
Johari Family Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Whitfield St, Fayetteville, NC 28306 Phone: 910-897-3000 | |
Catholic Charities Of The Diocese Of Raleigh, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2712 Fort Bragg Rd, Fayetteville, NC 28303 Phone: 910-424-2020 | |
Carolina Children Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7712 N Ancon Dr, Fayetteville, NC 28304 Phone: 910-778-8125 |