Patrick W Tankersley, LCMHC | |
180 War Eagle Dr, Mocksville, NC 27028-6151 | |
(336) 751-5921 | |
Not Available |
Full Name | Patrick W Tankersley |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 180 War Eagle Dr, Mocksville, 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 |
---|---|---|---|
1154416592 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 002478 (Missouri) | Secondary |
101YM0800X | Counselor - Mental Health | 19116 (North Carolina) | Primary |
Entity Name | Gaston Family Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215932215 PECOS PAC ID: 5496733925 Enrollment ID: O20040712000470 |
Mailing Address | Practice Location Address |
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Patrick W Tankersley, LCMHC 200 E 2nd Ave, Gastonia, NC 28052-4358 Ph: (704) 874-1907 | Patrick W Tankersley, LCMHC 180 War Eagle Dr, Mocksville, NC 27028-6151 Ph: (336) 751-5921 |
Brandi Nicole Knight-harris, MA/EDS, NCC, LPC Counselor Medicare: Medicare Enrolled Practice Location: 172 S Clement St, Mocksville, NC 27028 Phone: 336-477-2251 Fax: 704-402-1065 | |
Caitlin Evey Jennings, Counselor Medicare: Not Enrolled in Medicare Practice Location: 552 Cornatzer Rd, Mocksville, NC 27028 Phone: 336-940-5097 | |
Hannah Robertson Prillaman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 172 S Clement St, Mocksville, NC 27028 Phone: 336-477-2251 | |
Jordan Leigh Hemmings, LCMHC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 377 Hospital St Ste 100, Mocksville, NC 27028 Phone: 336-751-5636 Fax: 336-751-5696 | |
Mr. Marc Lee Williams, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 140 Dream Haven Ln, Mocksville, NC 27028 Phone: 336-492-5065 | |
Mrs. Joy N Miller-kyle, LCASA LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 377 Hospital St Ste 100, Mocksville, NC 27028 Phone: 336-751-5636 |