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NPI Code Detail

MEDICARE: PEACE LILY COUNSELING SERVICES PLLC

MEDICARE: PEACE LILY 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 Worker

General Provider Information

NPI Number : 1386436988
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEACE LILY COUNSELING SERVICES PLLC
Provider Business Mailing Address
First Line : 10031 LAMPKIN WAY
Second Line :
City : CHARLOTTE
State : NC
Zip : 28269-8626
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 301 S MCDOWELL ST STE 125
Second Line :
City : CHARLOTTE
State : NC
Zip : 28204-0031
Country : US
Telephone Number : 484-742-3312
Fax Number :
Authorized Official
Title or Position : OWNER/CLINICAL SOCIAL WORKER
Name : DANIELLE SILBERMAN
Credential :
Telephone Number : 864-380-3581
Provider Enumeration Date : 05/20/2025
Last Update Date : 05/20/2025

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Directions to “PEACE LILY COUNSELING SERVICES PLLC ” Practice Location

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