| Anderson Counseling And Consulting Group, Pllc | |
|
1923 J N Pease Pl Ste 104 Charlotte NC 28262-4534 | |
| (704) 208-4458 | |
| (866) 309-6385 |
| Full Name | Anderson Counseling And Consulting Group, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1923 J N Pease Pl Ste 104, Charlotte, North Carolina |
| Authorized Official Name and Position | Rulondo Tehran Anderson (OWNER/ CLINICAL THERAPIST) |
| Authorized Official Contact | 7042524381 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anderson Counseling And Consulting Group, Pllc 2013 Beechmont St Harrisburg NC 28075-8365 Ph: (704) 208-4458 | Anderson Counseling And Consulting Group, Pllc 1923 J N Pease Pl Ste 104 Charlotte NC 28262-4534 Ph: (704) 208-4458 |
| NPI Number | 1629416029 |
|---|---|
| Provider Enumeration Date | 06/06/2013 |
| Last Update Date | 03/04/2021 |
| Certification Date | 03/04/2021 |
| Medicare PECOS PAC ID | 5496191389 |
|---|---|
| Medicare Enrollment ID | O20240314000284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629416029 | NPI | - | NPPES |
| 6115004 | Medicaid | NC |
| Provider Name | Rulondo Tehran Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356577308 PECOS PAC ID: 7113363003 Enrollment ID: I20240314000458 |
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