| A Su Lado Therapy Pllc | |
|
818 S Main St Ste A Kannapolis NC 28081-4918 | |
| (704) 727-6226 | |
| (877) 940-3260 |
| Full Name | A Su Lado Therapy Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 818 S Main St Ste A, Kannapolis, North Carolina |
| Authorized Official Name and Position | Kim Goforth Simpson (OWNER/ORGANIZER) |
| Authorized Official Contact | 9803551429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Su Lado Therapy Pllc 1050 Cambrook Ct Concord NC 28027-0504 Ph: (980) 355-1429 | A Su Lado Therapy Pllc 818 S Main St Ste A Kannapolis NC 28081-4918 Ph: (704) 727-6226 |
| NPI Number | 1275363202 |
|---|---|
| Provider Enumeration Date | 08/05/2024 |
| Last Update Date | 08/12/2024 |
| Certification Date | 08/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275363202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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