Access Behavioral Health Care, Llc | |
302 S Church St Gastonia NC 28054-4506 | |
(704) 862-0081 | |
(704) 862-9990 |
Full Name | Access Behavioral Health Care, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 302 S Church St, Gastonia, North Carolina |
Authorized Official Name and Position | Phyllis D Walker (CLINICAL DIRECTOR) |
Authorized Official Contact | 7048620081 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Access Behavioral Health Care, Llc 302 S Church St Gastonia NC 28054-4506 Ph: (704) 862-0081 | Access Behavioral Health Care, Llc 302 S Church St Gastonia NC 28054-4506 Ph: (704) 862-0081 |
NPI Number | 1467526806 |
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Provider Enumeration Date | 11/18/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467526806 | NPI | - | NPPES |
6005942 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C002758 (North Carolina) | Primary |
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