| Ethos Services | |
|
432 E Long Ave Ste 2 Gastonia NC 28054-2540 | |
| (980) 416-3025 | |
| (980) 448-3419 |
| Full Name | Ethos Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 432 E Long Ave Ste 2, Gastonia, North Carolina |
| Authorized Official Name and Position | Benny Locklear (CEO) |
| Authorized Official Contact | 9109640678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ethos Services 432 East Long Avenue Suite 2 Gastonia NC 28054-2540 Ph: (980) 416-3025 | Ethos Services 432 E Long Ave Ste 2 Gastonia NC 28054-2540 Ph: (980) 416-3025 |
| NPI Number | 1639806359 |
|---|---|
| Provider Enumeration Date | 08/03/2022 |
| Last Update Date | 06/25/2024 |
| Certification Date | 06/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639806359 | NPI | - | NPPES |
| 1467162065 | Medicaid | NC | |
| 1639806359 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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