| Alexander Wilson Lpc Inc | |
|
3719 West Market Street Suite B Greensboro NC 27403 | |
| (336) 547-6362 | |
| (336) 547-6364 |
| Full Name | Alexander Wilson Lpc Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3719 West Market Street, Greensboro, North Carolina |
| Authorized Official Name and Position | Steven Alexander Wilson (PRESIDENT/OWNER) |
| Authorized Official Contact | 3367062387 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Wilson Lpc Inc Po Box 782 Oak Ridge NC 27310-0782 Ph: (336) 547-6361 | Alexander Wilson Lpc Inc 3719 West Market Street Suite B Greensboro NC 27403 Ph: (336) 547-6362 |
| NPI Number | 1508295429 |
|---|---|
| Provider Enumeration Date | 11/01/2013 |
| Last Update Date | 05/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508295429 | NPI | - | NPPES |
| 6103741 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1601 (North Carolina) | Primary |
| 101YP2500X | Counselor - Professional | 5251 (North Carolina) | Secondary |
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