| Sherald Wilkes-clement, LCMHC, LPC | |
|
5820 E W T Harris Blvd, Ste 109 #258, Charlotte, NC 28215-3541 | |
| (704) 245-5645 | |
| Not Available |
| Full Name | Sherald Wilkes-clement |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 5820 E W T Harris Blvd, Charlotte, 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 |
|---|---|---|---|
| 1669131637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 9338 (South Carolina) | Secondary |
| 101YM0800X | Counselor - Mental Health | 16958 (North Carolina) | Primary |
| Entity Name | Lifesource Of North Carolina |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972861789 PECOS PAC ID: 7416132428 Enrollment ID: O20120801000901 |
| Mailing Address | Practice Location Address |
|---|---|
| Sherald Wilkes-clement, LCMHC, LPC 28 Pulaski St, Goose Creek, SC 29445-6153 Ph: (704) 245-5645 | Sherald Wilkes-clement, LCMHC, LPC 5820 E W T Harris Blvd, Ste 109 #258, Charlotte, NC 28215-3541 Ph: (704) 245-5645 |
Dr. Jeff Randall Mishoe, D.MIN. Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 East Blvd, C-8, Charlotte, NC 28203 Phone: 704-344-1100 Fax: 704-344-1100 | |
Allegra Shonta Cooper, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 6324 Fairview Rd Ste 460, Charlotte, NC 28210 Phone: 980-302-8611 Fax: 980-302-8624 | |
Meredith Garofalo, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2339 Chesterfield Ave, Charlotte, NC 28205 Phone: 773-263-6765 | |
Reggie Moses, ST. Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 East Blvd, Charlotte, NC 28203 Phone: 704-332-0081 Fax: 704-332-0085 | |
Dr. Terri Lynn Tilford, EDD Counselor Medicare: Not Enrolled in Medicare Practice Location: 10130 Mallard Creek Rd Ste 300, Charlotte, NC 28262 Phone: 980-689-4127 | |
Emily Reiner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2511 Yadkin Ave, Charlotte, NC 28205 Phone: 470-289-6301 | |
Lindsey Yvette Donatien, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5200 Park Rd Ste 218b, Charlotte, NC 28209 Phone: 866-700-1606 Fax: 866-338-5921 |