| Little Angels Therapy, Inc. | |
|
2121 12th Ave Ne Hickory NC 28601-3187 | |
| (828) 578-6028 | |
| (855) 767-7030 |
| Full Name | Little Angels Therapy, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2121 12th Ave Ne, Hickory, North Carolina |
| Authorized Official Name and Position | Thomas Doyle Ford (VP) |
| Authorized Official Contact | 8283022056 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Angels Therapy, Inc. 21 River Terrace Ct Taylorsville NC 28681-3920 Ph: (828) 302-2055 | Little Angels Therapy, Inc. 2121 12th Ave Ne Hickory NC 28601-3187 Ph: (828) 578-6028 |
| NPI Number | 1700401742 |
|---|---|
| Provider Enumeration Date | 06/16/2020 |
| Last Update Date | 06/16/2020 |
| Certification Date | 06/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700401742 | NPI | - | NPPES |
| 7200384 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
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