| Open Gate Counseling Services Pllc | |
|
143 Holden Beach Rd Sw Ste 3 Shallotte NC 28470-1918 | |
| (910) 755-5182 | |
| (910) 312-3155 |
| Full Name | Open Gate Counseling Services Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 143 Holden Beach Rd Sw Ste 3, Shallotte, North Carolina |
| Authorized Official Name and Position | Brittany Oxendine Jozefowicz (OWNER/THERAPIST) |
| Authorized Official Contact | 9102280913 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Gate Counseling Services Pllc Po Box 2485 Shallotte NC 28459-2485 Ph: (910) 755-5182 | Open Gate Counseling Services Pllc 143 Holden Beach Rd Sw Ste 3 Shallotte NC 28470-1918 Ph: (910) 755-5182 |
| NPI Number | 1609336981 |
|---|---|
| Provider Enumeration Date | 03/22/2019 |
| Last Update Date | 06/20/2023 |
| Certification Date | 06/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609336981 | NPI | - | NPPES |
| 28618 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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