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1598103293

NPI Code Detail

MEDICARE: MRS. ELISE MILAGROS FERNANDEZ LPC

MEDICARE: MRS. ELISE MILAGROS FERNANDEZ LPC

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
1	101YP2500X	Professional Counselor	3253	CT
2	101YP2500X	Professional Counselor	18268	NC
3	101YP2500X	Professional Counselor	8661	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598103293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELISE MILAGROS FERNANDEZ LPC

Provider Business Mailing Address
First Line	:	8480 HONEYCUTT RD STE 200
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-2261
Country	:	US
Telephone Number	:	203-519-6900
Fax Number	:	888-980-6983

Provider Business Practice Location Address
First Line	:	8480 HONEYCUTT RD STE 200
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-2261
Country	:	US
Telephone Number	:	919-520-2176
Fax Number	:	888-980-6893

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2013
Last Update Date	:	01/14/2026

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Directions to “ MRS. ELISE MILAGROS FERNANDEZ LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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