Mr William David Holden, LPC, LCAS | |
204 Jefferson Street, Suite 106, North Wilkesboro, NC 28659-3586 | |
(336) 838-1644 | |
(336) 667-7720 |
Full Name | Mr William David Holden |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 204 Jefferson Street, Suite 106, North Wilkesboro, 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 |
---|---|---|---|
1174552442 | NPI | - | NPPES |
1022P | Other | NC | BCBSNC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC #2749 (North Carolina) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS # 147 (North Carolina) | Secondary |
Entity Name | Carenet Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043424013 PECOS PAC ID: 6406845262 Enrollment ID: O20050207000511 |
Mailing Address | Practice Location Address |
---|---|
Mr William David Holden, LPC, LCAS P.o. Box 1656, North Wilkesboro, NC 28659-1656 Ph: (336) 838-1644 | Mr William David Holden, LPC, LCAS 204 Jefferson Street, Suite 106, North Wilkesboro, NC 28659-3586 Ph: (336) 838-1644 |
Shannon Price, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 Willow Ln, North Wilkesboro, NC 28659 Phone: 336-667-5151 | |
Mr. Christopher Aaron Bumgarner, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 Willow Ln, North Wilkesboro, NC 28659 Phone: 336-667-5151 Fax: 336-838-3133 | |
Chris Anthony, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 Willow Ln, North Wilkesboro, NC 28659 Phone: 336-667-5151 | |
Esme Claire Bieberly, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 204 Jefferson St, North Wilkesboro, NC 28659 Phone: 336-838-1644 | |
Kimberly Sue Gilreath, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Northview Plz, North Wilkesboro, NC 28659 Phone: 336-818-0607 Fax: 336-838-0156 | |
Jessica Blackburn Call, MA Counselor Medicare: Medicare Enrolled Practice Location: 204 Jefferson St, Suite 106, North Wilkesboro, NC 28659 Phone: 336-838-1644 Fax: 336-667-7720 | |
Angie M Church, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 204 Jefferson St Ste 106, North Wilkesboro, NC 28659 Phone: 336-838-1644 Fax: 336-667-7720 |