Lee Aaron Sousa, | |
708 S Chestnut St, Gastonia, NC 28054-4548 | |
(704) 865-3525 | |
Not Available |
Full Name | Lee Aaron Sousa |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 708 S Chestnut St, 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 |
---|---|---|---|
1891168902 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | A11926 (North Carolina) | Primary |
Entity Name | Port Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497075618 PECOS PAC ID: 5193752681 Enrollment ID: O20050726001211 |
Mailing Address | Practice Location Address |
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Lee Aaron Sousa, 702 S Lee St, Gastonia, NC 28052-4016 Ph: () - | Lee Aaron Sousa, 708 S Chestnut St, Gastonia, NC 28054-4548 Ph: (704) 865-3525 |
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 |