| Home For Family Intimacy, Pllc | |
|
10130 Mallard Creek Rd Charlotte NC 28262-6000 | |
| (980) 224-0653 | |
| (980) 729-5025 |
| Full Name | Home For Family Intimacy, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 10130 Mallard Creek Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Terri A Williams (THERAPIST/OWNER) |
| Authorized Official Contact | 9802240653 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Home For Family Intimacy, Pllc 10130 Mallard Creek Rd Charlotte NC 28262-6000 Ph: (980) 224-0653 | Home For Family Intimacy, Pllc 10130 Mallard Creek Rd Charlotte NC 28262-6000 Ph: (980) 224-0653 |
| NPI Number | 1386196897 |
|---|---|
| Provider Enumeration Date | 10/31/2016 |
| Last Update Date | 10/31/2016 |
| Medicare PECOS PAC ID | 4284914805 |
|---|---|
| Medicare Enrollment ID | O20161216000696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386196897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C010228 (North Carolina) | Primary |
| Provider Name | Terri Williams-whiteside |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972853174 PECOS PAC ID: 0547540163 Enrollment ID: I20161216000791 |
Barbara Kaplan Mhdl Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 East Woodlawn Road, Suite 136, Charlotte, NC 28217 Phone: 704-527-2108 Fax: 704-527-2108 | |
Carolina Care One, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3601 Beaux St, Charlotte, NC 28208 Phone: 704-299-2616 | |
Myers Park Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2435 Umar Ct, Charlotte, NC 28215 Phone: 704-566-0245 | |
Monarch Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 Robinhood Cir, Charlotte, NC 28227 Phone: 704-563-8894 | |
Primary Care Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5601 Executive Center Dr Ste 200, Charlotte, NC 28212 Phone: 704-537-1022 Fax: 704-569-0822 | |
Carawell Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3315 Springbank Ln Ste 302, Charlotte, NC 28226 Phone: 704-288-0314 Fax: 704-288-0310 | |
Healing Pathways Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1931 J N Pease Pl Ste 201, Charlotte, NC 28262 Phone: 980-237-2709 Fax: 704-817-9154 |