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NPI Code Detail

MEDICARE: PERLA ROSANYI FRIAS LCMHC

MEDICARE: PERLA ROSANYI FRIAS LCMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor17272NC
2101YM0800XMental Health Counselor
3101Y00000XCounselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11285628552OTHERNYAGENCY

General Provider Information

NPI Number : 1083109029
Entity Type Code : Individual
Provider Name (Legal Business Name) : PERLA ROSANYI FRIAS LCMHC
Provider Business Mailing Address
First Line : 4106 SHIPYARD BLVD
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-6155
Country : US
Telephone Number : 910-452-1460
Fax Number : 910-397-0821
Provider Business Practice Location Address
First Line : 4110 SHIPYARD BLVD
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-6155
Country : US
Telephone Number : 910-452-1460
Fax Number : 910-397-0821
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2018
Last Update Date : 12/16/2025

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Directions to “ PERLA ROSANYI FRIAS LCMHC” Practice Location

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