| Bch Counseling & Consultation Services | |
|
4108 Park Rd Suite 325 Charlotte NC 28209-2259 | |
| (704) 676-4884 | |
| Not Available |
| Full Name | Bch Counseling & Consultation Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4108 Park Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Tameka Denise Jenkins (OWNER) |
| Authorized Official Contact | 7046764884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bch Counseling & Consultation Services 4108 Park Rd Suite 325 Charlotte NC 28209-2259 Ph: (704) 676-4884 | Bch Counseling & Consultation Services 4108 Park Rd Suite 325 Charlotte NC 28209-2259 Ph: (704) 676-4884 |
| NPI Number | 1255580064 |
|---|---|
| Provider Enumeration Date | 09/17/2008 |
| Last Update Date | 09/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255580064 | NPI | - | NPPES |
| 6102903 | Medicaid | NC | |
| 6103824 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5007 (North Carolina) | Primary |
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