| Tanza Haskins Counseling Services, Inc. | |
|
871 Washington St Raleigh NC 27605-1255 | |
| (919) 839-0042 | |
| (919) 821-1434 |
| Full Name | Tanza Haskins Counseling Services, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 871 Washington St, Raleigh, North Carolina |
| Authorized Official Name and Position | Tanza G. Haskins (PRESIDENT) |
| Authorized Official Contact | 9198390042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanza Haskins Counseling Services, Inc. Po Box 46180 Raleigh NC 27620-6180 Ph: (919) 839-0042 | Tanza Haskins Counseling Services, Inc. 871 Washington St Raleigh NC 27605-1255 Ph: (919) 839-0042 |
| NPI Number | 1174655690 |
|---|---|
| Provider Enumeration Date | 03/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174655690 | NPI | - | NPPES |
| 6002839 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C002680 (North Carolina) | Primary |
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