Mental Health & Spiritual Wellness Therapeutic Services | |
213-d S Trade Street Shelby NC 28150-4866 | |
(704) 231-9025 | |
Not Available |
Full Name | Mental Health & Spiritual Wellness Therapeutic Services |
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Speciality | Social Worker - Clinical |
Location | 213-d S Trade Street, Shelby, North Carolina |
Authorized Official Name and Position | Tynecca Gail Lynch (OWNER/ PSYCHOTHERAPIST) |
Authorized Official Contact | 7042319025 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mental Health & Spiritual Wellness Therapeutic Services 213-d South Trade Street Shelby NC 28150-4564 Ph: (704) 231-9025 | Mental Health & Spiritual Wellness Therapeutic Services 213-d S Trade Street Shelby NC 28150-4866 Ph: (704) 231-9025 |
NPI Number | 1417495474 |
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Provider Enumeration Date | 02/09/2017 |
Last Update Date | 02/09/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417495474 | NPI | - | NPPES |
1316262975 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C006811 (North Carolina) | Primary |
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