Piedmont Performance Evaluations, Pllc | |
1945 Jn Pease Pl Suite 201 Charlotte NC 28262-4511 | |
(704) 763-7386 | |
(704) 717-2440 |
Full Name | Piedmont Performance Evaluations, Pllc |
---|---|
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1945 Jn Pease Pl, Charlotte, North Carolina |
Authorized Official Name and Position | Roslyn Miller Walker (OWNER) |
Authorized Official Contact | 7047637386 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Piedmont Performance Evaluations, Pllc 1945 Jn Pease Pl Suite 201 Charlotte NC 28262-4511 Ph: (704) 763-7386 | Piedmont Performance Evaluations, Pllc 1945 Jn Pease Pl Suite 201 Charlotte NC 28262-4511 Ph: (704) 763-7386 |
NPI Number | 1619200417 |
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Provider Enumeration Date | 09/10/2009 |
Last Update Date | 09/10/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619200417 | NPI | - | NPPES |
6006048 | Medicaid | NC | |
144PE | Other | NC | BLUE CROSS BLUE SHIED |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1526 (North Carolina) | Primary |
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