Ms Razhedatequila Eunicetage Sanford, LCSWA | |
848 Wingthorn Rose Dr, Gastonia, NC 28056-8087 | |
(048) 982-3717 | |
Not Available |
Full Name | Ms Razhedatequila Eunicetage Sanford |
---|---|
Gender | Female |
Speciality | Social Worker |
Location | 848 Wingthorn Rose Dr, 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 |
---|---|---|---|
1306374160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 25881 (North Carolina) | Secondary |
104100000X | Social Worker | C015805 (North Carolina) | Primary |
Entity Name | Brinkley Brown Mental Wellness Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821697293 PECOS PAC ID: 3173917010 Enrollment ID: O20220218001391 |
Entity Name | Step Up Care Of North Carolina Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841929395 PECOS PAC ID: 4486036878 Enrollment ID: O20220802000558 |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221208000188 |
Entity Name | Notary & Things Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801500541 PECOS PAC ID: 3375900210 Enrollment ID: O20230607002789 |
Entity Name | Oasis Therapeutic Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952032898 PECOS PAC ID: 4880137199 Enrollment ID: O20240614002141 |
Mailing Address | Practice Location Address |
---|---|
Ms Razhedatequila Eunicetage Sanford, LCSWA 848 Wingthorn Rose Dr, Gastonia, NC 28056-8087 Ph: (704) 898-2371 | Ms Razhedatequila Eunicetage Sanford, LCSWA 848 Wingthorn Rose Dr, Gastonia, NC 28056-8087 Ph: (048) 982-3717 |