Dunndeal Counseling Services PLLC
Organization Active NPI Community/Behavioral Health Agency · Bunnlevel, NC
NPI 1255055125 · NPPES record last updated Feb 19, 2024
Key facts
- NPI
- 1255055125
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- DUNNDEAL COUNSELING SERVICES PLLC
- Practice address
- 749 Lasater Rd
Bunnlevel, NC 28323-9137 - Phone
- (910) 257-8778
- NPI assigned
- Oct 3, 2022
- Organization subpart
- No
Authorized official
- Name
- Mrs. Maxine Tibbetts, LCMHC
- Title
- Owner
- Phone
- (910) 257-8778
Practitioners 1
-
Maxine Tibbetts, LCMHC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241220000681 | NC | Part B Supplier - Clinic/Group Practice | 3274060876 |
Receives reassigned benefits from 1 practitioner Practice locations: Bunnlevel, NC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
749 Lasater Rd
Bunnlevel, NC 28323-9137
Mailing address
749 Lasater Rd
Bunnlevel, NC 28323-9137
Phone (910) 257-8778
Other providers in Bunnlevel, NC
- Derrick T Caldwell
- Rachel Dahler
- Rebekah Dunnahoe
- Johnson Allied Health Services Inc
- Precious Capri Jones
- Kelsey Mendez
- Lexie Michelle Receniello
- Joshua Daniel Rentz
All providers in Bunnlevel, NC · Community/Behavioral Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.