Ms Isis Reddick-umoja, LPC | |
122 Gateway Blvd Ste C, Mooresville, NC 28117-5544 | |
(704) 733-7475 | |
(704) 662-0866 |
Full Name | Ms Isis Reddick-umoja |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 122 Gateway Blvd Ste C, Mooresville, 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 |
---|---|---|---|
1598875247 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 5341 (North Carolina) | Primary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
Entity Name | Be Whole Counseling And Wellness Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770851388 PECOS PAC ID: 6103250725 Enrollment ID: O20200107001162 |
Mailing Address | Practice Location Address |
---|---|
Ms Isis Reddick-umoja, LPC 148 Newport Dr, Kannapolis, NC 28081-7169 Ph: (704) 733-7475 | Ms Isis Reddick-umoja, LPC 122 Gateway Blvd Ste C, Mooresville, NC 28117-5544 Ph: (704) 733-7475 |
Jessica Rose Wing, MA, LCMHCA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 Williamson Rd Ste 103, Mooresville, NC 28117 Phone: 704-360-3049 | |
Erin Poore, LPCA, LCASA Counselor Medicare: Not Enrolled in Medicare Practice Location: 117 Hampshire Dr, Mooresville, NC 28115 Phone: 704-658-8558 | |
Ms. Ava Vaughan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 Amelia Ln, Mooresville, NC 28117 Phone: 276-708-6287 | |
Catherine Diane Naylor, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 542 Williamson Rd, Suite 6, Mooresville, NC 28117 Phone: 704-660-6854 | |
Tetiana Malkova, Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 Williamson Rd Ste 103, Mooresville, NC 28117 Phone: 704-360-3049 | |
Asheli M Thompson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Gateway Blvd Ste C, Mooresville, NC 28117 Phone: 704-360-3637 | |
Mrs. Deanna Cuccinello, MA, LPCA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Rolling Hill Rd Ste 235, Mooresville, NC 28117 Phone: 828-548-0313 |