Gregory Suddreth, | |
415 W Main Ave, Gastonia, NC 28052-3844 | |
(704) 478-6093 | |
Not Available |
Full Name | Gregory Suddreth |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 415 W Main Ave, Gastonia, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457781536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 3579-A (North Carolina) | Secondary |
101YM0800X | Counselor - Mental Health | A10489 (North Carolina) | Primary |
Entity Name | The Counseling Group, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962541888 PECOS PAC ID: 0345274767 Enrollment ID: O20050923000887 |
Mailing Address | Practice Location Address |
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Gregory Suddreth, 1617 16th St Ne, Hickory, NC 28601-2815 Ph: (828) 461-2822 | Gregory Suddreth, 415 W Main Ave, Gastonia, NC 28052-3844 Ph: (704) 478-6093 |
Brittney Cornette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 419 S York St, Gastonia, NC 28052 Phone: 704-865-8722 | |
Carym Arbulu Casas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2925 Audrey Dr, Gastonia, NC 28054 Phone: 980-484-2111 | |
Mr. Robert Summey Iii, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1552 Union Rd, Suite E, Gastonia, NC 28054 Phone: 704-833-0154 Fax: 704-833-7076 | |
Stephanie Jackson Grier, MA, LCAS, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1566 Union Rd Ste B, Gastonia, NC 28054 Phone: 704-968-0935 | |
Jessica Gabrielle Montez, MA, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 S York St, Gastonia, NC 28052 Phone: 704-864-6573 Fax: 704-864-9791 | |
Carolyn Linder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 549 Cox Rd, Gastonia, NC 28054 Phone: 704-865-1558 | |
Jessie Dawson, M.A Counselor Medicare: Not Enrolled in Medicare Practice Location: 1019 W 6th Ave, Gastonia, NC 28052 Phone: 757-339-1149 |