Dominique Desmond Ford, LCMHCA - Counselor in Gastonia, NC

Dominique Desmond Ford, LCMHCA is a Counselor - Mental Health based in Gastonia, North Carolina. Dominique Desmond Ford is licensed to practice in * (Not Available) (license number ) and his current practice location is 620 Summit Crossing Pl Ste 305, Gastonia, North Carolina. He can be reached at his office (for appointments etc.) via phone at (704) 387-5447.

NPI number for Dominique Desmond Ford is 1144915497 and his current mailing address is 620 Summit Crossing Pl Ste 305, Gastonia, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144915497.

Contact Information

Dominique Desmond Ford, LCMHCA
620 Summit Crossing Pl Ste 305,
Gastonia, NC 28054-2176
(704) 387-5447
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameDominique Desmond Ford
GenderMale
SpecialityCounselor - Mental Health
Location620 Summit Crossing Pl Ste 305, Gastonia, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1144915497
  • Provider Enumeration Date: 04/11/2023
  • Last Update Date: 04/11/2023

Medical Identifiers

Medical identifiers for Dominique Desmond Ford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144915497NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dominique Desmond Ford is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dominique Desmond Ford, LCMHCA
620 Summit Crossing Pl Ste 305,
Gastonia, NC 28054-2176

Ph: (704) 387-5447
Dominique Desmond Ford, LCMHCA
620 Summit Crossing Pl Ste 305,
Gastonia, NC 28054-2176

Ph: (704) 387-5447

Reviews and Comments


Counselor in Gastonia, NC

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