| Center For Conscious Change Pllc | |
|
900 Copperfield Blvd Ne Concord NC 28025-2433 | |
| (704) 729-4767 | |
| Not Available |
| Full Name | Center For Conscious Change Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 900 Copperfield Blvd Ne, Concord, North Carolina |
| Authorized Official Name and Position | Debra Neisler (DIRECTOR) |
| Authorized Official Contact | 9193683684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Conscious Change Pllc 1614 Pat Garrett St Charlotte NC 28206-2187 Ph: (919) 368-3684 | Center For Conscious Change Pllc 900 Copperfield Blvd Ne Concord NC 28025-2433 Ph: (704) 729-4767 |
| NPI Number | 1649761974 |
|---|---|
| Provider Enumeration Date | 05/22/2018 |
| Last Update Date | 05/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649761974 | NPI | - | NPPES |
| 1689728784 | Other | BLUE CROSS BLUE SHIELD | |
| 977827 | Other | BEACON HEALTH | |
| 6007227 | Other | AETNA | |
| 6007170 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C006216 (North Carolina) | Primary |
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