| My Therapy Nc, Pllc | |
|
2579 Harris Henrietta Rd. Mooresboro NC 28114 | |
| (704) 300-6922 | |
| Not Available |
| Full Name | My Therapy Nc, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 2579 Harris Henrietta Rd., Mooresboro, North Carolina |
| Authorized Official Name and Position | Jerry Ashley Wease (OWNER) |
| Authorized Official Contact | 7043006922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Therapy Nc, Pllc Po Box 425 Henrietta NC 28076-0425 Ph: (704) 300-6922 | My Therapy Nc, Pllc 2579 Harris Henrietta Rd. Mooresboro NC 28114 Ph: (704) 300-6922 |
| NPI Number | 1336927425 |
|---|---|
| Provider Enumeration Date | 09/19/2023 |
| Last Update Date | 09/19/2023 |
| Certification Date | 09/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336927425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
Powell Counseling Center, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2924 Fox Pl, Mooresboro, NC 28114 Phone: 828-429-1240 Fax: 828-657-5923 |