| Strength Harbor PLLC | |
|
3403 Timber Mill Dr Stallings NC 28104-1156 | |
| (803) 670-0512 | |
| Not Available |
| Full Name | Strength Harbor PLLC |
|---|---|
| Speciality | Counselor |
| Location | 3403 Timber Mill Dr, Stallings, North Carolina |
| Authorized Official Name and Position | Ignacio Bidegain (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 8036700512 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Strength Harbor PLLC 3403 Timber Mill Dr Stallings NC 28104-1156 Ph: (803) 670-0512 | Strength Harbor PLLC 3403 Timber Mill Dr Stallings NC 28104-1156 Ph: (803) 670-0512 |
| NPI Number | 1134968621 |
|---|---|
| Provider Enumeration Date | 05/23/2024 |
| Last Update Date | 05/23/2024 |
| Certification Date | 05/23/2024 |
| Medicare PECOS PAC ID | 9234629486 |
|---|---|
| Medicare Enrollment ID | O20251106000164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134968621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (NU) | Secondary |
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
| Provider Name | Ignacio Bidegain |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356110944 PECOS PAC ID: 0143710392 Enrollment ID: I20251106000230 |
The Cardinal Connection LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Smith Cir, Stallings, NC 28104 Phone: 844-771-7337 |