Piedmont Counseling And Development | |
4917 Piedmont Pkwy Ste 103d Jamestown NC 27282-7536 | |
(336) 442-5458 | |
Not Available |
Full Name | Piedmont Counseling And Development |
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Speciality | Clinic/Center |
Location | 4917 Piedmont Pkwy Ste 103d, Jamestown, North Carolina |
Authorized Official Name and Position | Monique Crutchfield (THERAPIST) |
Authorized Official Contact | 3364425458 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Piedmont Counseling And Development 4917 Piedmont Pkwy Ste 103d Jamestown NC 27282-7536 Ph: (336) 442-5458 | Piedmont Counseling And Development 4917 Piedmont Pkwy Ste 103d Jamestown NC 27282-7536 Ph: (336) 442-5458 |
NPI Number | 1548770480 |
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Provider Enumeration Date | 10/05/2017 |
Last Update Date | 12/18/2017 |
Medicare PECOS PAC ID | 9133487499 |
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Medicare Enrollment ID | O20171215000135 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548770480 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | C006190 (North Carolina) | Primary |
Provider Name | Monique T Crutchfield |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487975595 PECOS PAC ID: 4082877832 Enrollment ID: I20120515000564 |
Provider Name | Sheneika Alford |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932580073 PECOS PAC ID: 6800200296 Enrollment ID: I20210126001895 |
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