| Atra Counseling Services, Pllc | |
|
4921 Albemarle Rd Ste 108 Charlotte NC 28205-6654 | |
| (980) 819-6585 | |
| (980) 833-1426 |
| Full Name | Atra Counseling Services, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4921 Albemarle Rd Ste 108, Charlotte, North Carolina |
| Authorized Official Name and Position | Cornelia Pringle (OWNER) |
| Authorized Official Contact | 9808196585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atra Counseling Services, Pllc 4921 Albemarle Rd Ste 108 Charlotte NC 28205-6654 Ph: (980) 819-6585 | Atra Counseling Services, Pllc 4921 Albemarle Rd Ste 108 Charlotte NC 28205-6654 Ph: (980) 819-6585 |
| NPI Number | 1326533217 |
|---|---|
| Provider Enumeration Date | 06/25/2018 |
| Last Update Date | 01/26/2023 |
| Certification Date | 01/20/2023 |
| Medicare PECOS PAC ID | 5496128191 |
|---|---|
| Medicare Enrollment ID | O20230228001607 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326533217 | NPI | - | NPPES |
| Provider Name | Daloria T Teague |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528395050 PECOS PAC ID: 7810160082 Enrollment ID: I20111103000327 |
| Provider Name | Daloria T Teague |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528395050 PECOS PAC ID: 7810160082 Enrollment ID: I20170426000192 |
| Provider Name | Malik Ashhali |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730424169 PECOS PAC ID: 2365705902 Enrollment ID: I20180413001071 |
| Provider Name | Cornelia Pringle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992028914 PECOS PAC ID: 3274961339 Enrollment ID: I20240208000540 |
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