Senior In-Home Counseling Llc in Fuquay Varina - Clinical

Senior In-Home Counseling Llc - NPI 1669483350

Senior In-Home Counseling Llc is a Clinical in Fuquay Varina, North Carolina. Senior In-Home Counseling Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Senior In-Home Counseling Llc is 1669483350. The last update date is 2019-12-18.

Senior In-Home Counseling Llc's current location address is 3405 Fontana Lake Dr, Fuquay Varina, North Carolina. You can contact this provider via phone number 6317932846. The mailing address for Senior In-Home Counseling Llc is 3405 Fontana Lake Dr, Fuquay Varina, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Senior In-Home Counseling Llc
Address 3405 Fontana Lake Dr, Fuquay Varina, North Carolina
Phone Number 6317932846
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position 0WNER
Authorized Official Name Peters Sally
Credentials LCSW
Telephone Number 6317932846

NPI Number Detail

NPI Number 1669483350
Provider Enumeration Date 2006-08-10
Last Updated Date 2019-12-18

Provider Mailing Address Detail

Address 3405 Fontana Lake Dr
City Fuquay Varina
State North Carolina (NC)
Post Code 275260109
Phone Number 6317932846
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 701331
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1235131566 NY INDIV NPI
2168298 NY --

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FAQs about Senior In-Home Counseling Llc

What is the Senior In-Home Counseling Llc's 1669483350?

The Senior In-Home Counseling Llc's NPI (National Provider Identifier) Number is 1669483350. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Senior In-Home Counseling Llc's facilities are geographically located?

The facilities of Senior In-Home Counseling Llc are physically situated at the following location: 3405 Fontana Lake Dr, Fuquay Varina, NC, 275260109.

What is the Senior In-Home Counseling Llc's specialty and taxonomy code?

The Senior In-Home Counseling Llc's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.

On what date did the Senior In-Home Counseling Llc receive its 1669483350 assignment from the Centers for Medicare & Medicaid Services?

The Senior In-Home Counseling Llc was assigned its 1669483350 by the Centers for Medicare & Medicaid Services on 2006-08-10.

When was the information pertaining to Senior In-Home Counseling Llc most recently updated or revised?

The details related to Senior In-Home Counseling Llc, including its address, specialty, and other relevant information, were last updated or revised on 2019-12-18.

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