| Phoenix Counseling Center | |
|
2505 Court Dr Gastonia NC 28054-2140 | |
| (704) 884-2060 | |
| (704) 854-4860 |
| Full Name | Phoenix Counseling Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2505 Court Dr, Gastonia, North Carolina |
| Authorized Official Name and Position | Mary C Brannon (CREDENTIALING) |
| Authorized Official Contact | 7048842060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Counseling Center 2505 Court Dr Gastonia NC 28054-2140 Ph: (704) 884-2060 | Phoenix Counseling Center 2505 Court Dr Gastonia NC 28054-2140 Ph: (704) 884-2060 |
| NPI Number | 1487991279 |
|---|---|
| Provider Enumeration Date | 01/14/2013 |
| Last Update Date | 01/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487991279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | P007856 (North Carolina) | Primary |
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