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NPI Code Detail

MEDICARE: PAMLICO COUNSELING PLLC

MEDICARE: PAMLICO COUNSELING 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
1101YM0800XMental Health Counselor
2101YP2500XProfessional Counselor
31041C0700XClinical Social Worker
4251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1015RFOTHERNC BCBS
2305567OTHERMHN
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609885664
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAMLICO COUNSELING PLLC
Provider Business Mailing Address
First Line : 408 E 11TH ST
Second Line :
City : WASHINGTON
State : NC
Zip : 27889-3719
Country : US
Telephone Number : 252-975-2027
Fax Number : 252-975-3483
Provider Business Practice Location Address
First Line : 408 E 11TH ST
Second Line :
City : WASHINGTON
State : NC
Zip : 27889-3719
Country : US
Telephone Number : 252-975-2027
Fax Number : 252-975-3483
Authorized Official
Title or Position : OWNER
Name : MRS. CATHERINE DEMARTIN MANNING
Credential : LCMHC
Telephone Number : 252-975-2027
Provider Enumeration Date : 08/07/2006
Last Update Date : 09/25/2024

Similar Medicare Providers

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Practice Location Address:
408 E 11TH ST
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WASHINGTON, NC
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1386191245 — LISA GIBBS-LEE LCSW-A
Practice Location Address:
408 E 11TH ST
WASHINGTON, NC
27889-3719
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1982156584 — MRS. VICTORIA AEBY GIBBS LCSW
Practice Location Address:
408 E 11TH ST
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27889-3719
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Practice Fax:
1770145880 — SAMANTHA BARBOUR
Practice Location Address:
408 E 11TH ST
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27889-3719
Practice Phone: 252-975-2027
Practice Fax:

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