| Body & Soul Total Wellness, Pllc | |
|
204 Kelly Pl High Point NC 27262-2609 | |
| (336) 812-9733 | |
| (336) 812-9374 |
| Full Name | Body & Soul Total Wellness, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 204 Kelly Pl, High Point, North Carolina |
| Authorized Official Name and Position | Margaret Lorene Miller Crite (CEO) |
| Authorized Official Contact | 3368129733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Body & Soul Total Wellness, Pllc 204 Kelly Pl High Point NC 27262-2609 Ph: (336) 812-8733 | Body & Soul Total Wellness, Pllc 204 Kelly Pl High Point NC 27262-2609 Ph: (336) 812-9733 |
| NPI Number | 1366732497 |
|---|---|
| Provider Enumeration Date | 04/11/2011 |
| Last Update Date | 04/14/2020 |
| Certification Date | 04/14/2020 |
| Medicare PECOS PAC ID | 6709187693 |
|---|---|
| Medicare Enrollment ID | O20151218000317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366732497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C005769 (North Carolina) | Primary |
| Provider Name | Margaret Miller Crite |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003958463 PECOS PAC ID: 4789988304 Enrollment ID: I20160202002124 |
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