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NPI Code Detail

MEDICARE: FRESH PERCEPTIONS COUNSELING

MEDICARE: FRESH PERCEPTIONS COUNSELING
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 Counselor7449NC

Other Identifiers

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

General Provider Information

NPI Number : 1831434919
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRESH PERCEPTIONS COUNSELING
Provider Business Mailing Address
First Line : 200 N POPLAR ST
Second Line :
City : ABERDEEN
State : NC
Zip : 28315-2812
Country : US
Telephone Number : 910-639-2288
Fax Number :
Provider Business Practice Location Address
First Line : 200 N POPLAR ST
Second Line :
City : ABERDEEN
State : NC
Zip : 28315-2812
Country : US
Telephone Number : 910-639-2288
Fax Number :
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : MR. MICHAEL B SEARLES
Credential : LPC
Telephone Number : 910-639-2288
Provider Enumeration Date : 11/30/2012
Last Update Date : 11/30/2012

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