Nicole Elizabeth Fallon Sales, | |
809 N Lafayette St, Shelby, NC 28150-3978 | |
(704) 284-0554 | |
Not Available |
Full Name | Nicole Elizabeth Fallon Sales |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 809 N Lafayette St, Shelby, 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 |
---|---|---|---|
1225529647 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | A13751 (North Carolina) | Primary |
Entity Name | Lake Norman Family Therapy, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255445292 PECOS PAC ID: 3779523014 Enrollment ID: O20080424000297 |
Mailing Address | Practice Location Address |
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Nicole Elizabeth Fallon Sales, 9536 Stawell Dr, Huntersville, NC 28078-9324 Ph: (704) 942-4179 | Nicole Elizabeth Fallon Sales, 809 N Lafayette St, Shelby, NC 28150-3978 Ph: (704) 284-0554 |
Miss Deneen Valerie Norman, MSQP Counselor Medicare: Not Enrolled in Medicare Practice Location: 232 S Lafayette St, Shelby, NC 28150 Phone: 704-406-9013 | |
Dr. Robert Andrew Mccully Jr., D.MIN., LPCS, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1243 E Dixon Blvd, Shelby, NC 28152 Phone: 704-487-4000 Fax: 704-487-4005 | |
Rebecca C Waters, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 809 N Lafayette St Ste A, Shelby, NC 28150 Phone: 704-284-0554 | |
Lydia Grace Skipper, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 W Grover St, Shelby, NC 28150 Phone: 980-487-2800 | |
Ms. Elizabeth Marie Will, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 S Washington St, #2, Shelby, NC 28150 Phone: 704-484-0033 | |
Mrs. Kimberly Sparrow Nichols, LPC Counselor Medicare: Medicare Enrolled Practice Location: 200 S Post Rd Ste 3, Shelby, NC 28152 Phone: 704-476-4027 | |
Damon Helton, BAQP Counselor Medicare: Not Enrolled in Medicare Practice Location: 233 S Trade St, Shelby, NC 28150 Phone: 408-644-7603 |