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NPI Code Detail

MEDICARE: FLAHERTY COUNSELING SERVICES, PLLC

MEDICARE: FLAHERTY COUNSELING SERVICES, PLLC
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
11041C0700XClinical Social WorkerC006317NC

General Provider Information

NPI Number : 1346729134
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLAHERTY COUNSELING SERVICES, PLLC
Provider Business Mailing Address
First Line : 88 COTTSWOLD LN
Second Line :
City : SPRING LAKE
State : NC
Zip : 28390-7053
Country : US
Telephone Number : 203-258-2571
Fax Number : 910-436-5343
Provider Business Practice Location Address
First Line : 810 CHAPEL HILL RD
Second Line :
City : SPRING LAKE
State : NC
Zip : 28390-2140
Country : US
Telephone Number : 910-916-7881
Fax Number : 910-436-5343
Authorized Official
Title or Position : LICENSED CLINICAL SOCIAL WORKER
Name : MRS. LYNSEY VANGHEL FLAHERTY
Credential : MSW, LCSW
Telephone Number : 203-258-2571
Provider Enumeration Date : 08/13/2018
Last Update Date : 08/13/2018

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