Cleveland Counseling, P.c. | |
927 S Lafayette St Shelby NC 28152-5851 | |
(704) 481-8626 | |
(704) 481-8507 |
Full Name | Cleveland Counseling, P.c. |
---|---|
Speciality | Social Worker - Clinical |
Location | 927 S Lafayette St, Shelby, North Carolina |
Authorized Official Name and Position | Lydia Perrin Scruggs (PRESIDENT) |
Authorized Official Contact | 7044818626 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cleveland Counseling, P.c. Po Box 2465 Shelby NC 28151-2465 Ph: (704) 482-8626 | Cleveland Counseling, P.c. 927 S Lafayette St Shelby NC 28152-5851 Ph: (704) 481-8626 |
NPI Number | 1811944903 |
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Provider Enumeration Date | 05/27/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811944903 | NPI | - | NPPES |
6005220 | Medicaid | NC | |
06GJ | Other | NC | BCBS GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C004380 (North Carolina) | Primary |
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