| Inner Peace Counseling Services, Pllc | |
|
1931 J N Pease Pl 202 Charlotte NC 28262-4544 | |
| (704) 717-2800 | |
| (707) 717-6200 |
| Full Name | Inner Peace Counseling Services, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1931 J N Pease Pl, Charlotte, North Carolina |
| Authorized Official Name and Position | Angela Hargrow (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7047172800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Peace Counseling Services, Pllc 1931 J N Pease Pl 202 Charlotte NC 28262-4544 Ph: (704) 717-2800 | Inner Peace Counseling Services, Pllc 1931 J N Pease Pl 202 Charlotte NC 28262-4544 Ph: (704) 717-2800 |
| NPI Number | 1245465533 |
|---|---|
| Provider Enumeration Date | 05/15/2009 |
| Last Update Date | 07/27/2009 |
| Medicare PECOS PAC ID | 4587843669 |
|---|---|
| Medicare Enrollment ID | O20110120001165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245465533 | NPI | - | NPPES |
| 6000309 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 2409 (North Carolina) | Primary |
| Provider Name | Angela Hargrow-anthony |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316021884 PECOS PAC ID: 4284813379 Enrollment ID: I20110121000295 |
| Provider Name | Tasha Ganthier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184998130 PECOS PAC ID: 3779804851 Enrollment ID: I20150601001908 |
| Provider Name | Ashley M Flint |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982072781 PECOS PAC ID: 5496015604 Enrollment ID: I20180208001524 |
| Provider Name | Sherri S Murchison-green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164631453 PECOS PAC ID: 4486984960 Enrollment ID: I20190925003795 |
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