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270 N Toms St Rutherfordton NC 28139-2500 | |
| (828) 287-8890 | |
| (828) 287-3102 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 270 N Toms St, Rutherfordton, North Carolina |
| Authorized Official Name and Position | Louis C. Gadol, Lpp (OWNER) |
| Authorized Official Contact | 8282878890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
270 N Toms St Rutherfordton NC 28139-2500 Ph: (828) 287-8890 | 270 N Toms St Rutherfordton NC 28139-2500 Ph: (828) 287-8890 |
| NPI Number | 1518140912 |
|---|---|
| Provider Enumeration Date | 12/10/2007 |
| Last Update Date | 12/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518140912 | NPI | - | NPPES |
| 6005061 | Medicaid | NC | |
| 0335A | Other | NC | BCBSNC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1176 (North Carolina) | Primary |
Institute For Family Centered Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 668 Poors Ford Rd, Rutherfordton, NC 28139 Phone: 828-287-7505 Fax: 828-288-4635 | |
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Sana Vita, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 N Main St Ste D, Rutherfordton, NC 28139 Phone: 828-447-8253 Fax: 828-537-1373 | |