Avalon Counseling Center, Pllc in Cary - Clinical
Avalon Counseling Center, Pllc - NPI 1699809301
Avalon Counseling Center, Pllc is a Clinical in Cary, North Carolina. Avalon Counseling Center, Pllc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Avalon Counseling Center, Pllc is 1699809301. The last update date is 2009-07-29.
Avalon Counseling Center, Pllc's current location address is 1230 Se Maynard Rd Ste 204, Cary, North Carolina. You can contact this provider via phone number 9194689122 and fax number 9194689122. The mailing address for Avalon Counseling Center, Pllc is 1230 Se Maynard Rd Ste 204, Cary, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avalon Counseling Center, Pllc |
|---|---|
| Address | 1230 Se Maynard Rd Ste 204, Cary, North Carolina |
| Phone Number | 9194689122 |
| Fax Number | 9194689122 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Belk Orr Kelly |
| Credentials | LCSW |
| Telephone Number | 9194689122 |
NPI Number Detail
| NPI Number | 1699809301 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2009-07-29 |
Provider Mailing Address Detail
| Address | 1230 Se Maynard Rd Ste 204 |
|---|---|
| City | Cary |
| State | North Carolina (NC) |
| Post Code | 275116945 |
| Phone Number | 9194689122 |
| Fax Number | 9194689122 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C003783 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A8774 | NC | MEDCOST PREFERRED | |
| 014WR | NC | BLUE CROSS | |
| 6005211 | NC | -- | |
| 014WR | NC | STATE OF NC HEALTH PLAN |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Avalon Counseling Center, Pllc by the Centers for Medicare & Medicaid Services?
The Avalon Counseling Center, Pllc has been assigned the NPI (National Provider Identifier) 1699809301 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Avalon Counseling Center, Pllc?
The Avalon Counseling Center, Pllc is physically situated at 1230 Se Maynard Rd Ste 204, in the city of Cary, state of NC, with the postal code 275116945.
What is Avalon Counseling Center, Pllc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Avalon Counseling Center, Pllc is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Avalon Counseling Center, Pllc receive the assignment of its 1699809301 from the Centers for Medicare & Medicaid Services?
The Avalon Counseling Center, Pllc was issued its 1699809301 by the Centers for Medicare & Medicaid Services on 2007-03-15.
When was the information related to Avalon Counseling Center, Pllc most recently updated or refreshed?
The details pertaining to the Avalon Counseling Center, Pllc, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-07-29.
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