| Wholeheartedly Daring, Pllc | |
|
800 Pinner Weald Way Ste 101 Cary NC 27513-2607 | |
| (919) 656-8722 | |
| Not Available |
| Full Name | Wholeheartedly Daring, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 800 Pinner Weald Way Ste 101, Cary, North Carolina |
| Authorized Official Name and Position | Heidi Stern Bunce (OWNER) |
| Authorized Official Contact | 9196568722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wholeheartedly Daring, Pllc 800 Pinner Weald Way Ste 101 Cary NC 27513-2607 Ph: (919) 656-8722 | Wholeheartedly Daring, Pllc 800 Pinner Weald Way Ste 101 Cary NC 27513-2607 Ph: (919) 656-8722 |
| NPI Number | 1104656420 |
|---|---|
| Provider Enumeration Date | 08/02/2024 |
| Last Update Date | 08/02/2024 |
| Certification Date | 08/02/2024 |
| Medicare PECOS PAC ID | 7315472834 |
|---|---|
| Medicare Enrollment ID | O20241121000110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104656420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Heidi Stern |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467661546 PECOS PAC ID: 8224563747 Enrollment ID: I20241121000166 |
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