| Phoenix Counseling Center | |
|
2505 Court Dr Gastonia NC 28054-2140 | |
| (704) 861-8014 | |
| Not Available |
| Full Name | Phoenix Counseling Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2505 Court Dr, Gastonia, North Carolina |
| Authorized Official Name and Position | Tonce Vereen (CLINICIAN) |
| Authorized Official Contact | 7042993879 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Counseling Center 6210 Robur Ct Charlotte NC 28269-1686 Ph: (704) 299-3879 | Phoenix Counseling Center 2505 Court Dr Gastonia NC 28054-2140 Ph: (704) 861-8014 |
| NPI Number | 1154621134 |
|---|---|
| Provider Enumeration Date | 10/25/2010 |
| Last Update Date | 10/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154621134 | NPI | - | NPPES |
| 1396845004 | Medicaid | NC | |
| 8301469 | Other | NC | 6005727 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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