| The Conversation Location Pllc | |
|
1903 Bragg Blvd Fayetteville NC 28303-4563 | |
| (910) 874-8521 | |
| Not Available |
| Full Name | The Conversation Location Pllc |
|---|---|
| Speciality | Counselor |
| Location | 1903 Bragg Blvd, Fayetteville, North Carolina |
| Authorized Official Name and Position | Bianca Ramos Del Rio (CEO) |
| Authorized Official Contact | 1334470948 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Conversation Location Pllc 200 Corolla Ct Stedman NC 28391-1500 Ph: (910) 874-8521 | The Conversation Location Pllc 1903 Bragg Blvd Fayetteville NC 28303-4563 Ph: (910) 874-8521 |
| NPI Number | 1053194498 |
|---|---|
| Provider Enumeration Date | 08/18/2023 |
| Last Update Date | 11/22/2023 |
| Certification Date | 11/22/2023 |
| Medicare PECOS PAC ID | 3678916707 |
|---|---|
| Medicare Enrollment ID | O20240206002295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053194498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Bianca Ramos Del Rio |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164145439 PECOS PAC ID: 5496198525 Enrollment ID: I20240206003110 |
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