| Professional Care Llc | |
|
320 E Graham St Ste 1 Shelby NC 28150-5568 | |
| (704) 484-1058 | |
| (704) 484-0787 |
| Full Name | Professional Care Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 320 E Graham St, Shelby, North Carolina |
| Authorized Official Name and Position | Teri T Ellison (EXECUTIVE DIRECTOR/MEMBER) |
| Authorized Official Contact | 7044841058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Care Llc 320 E Graham St Ste 1 Shelby NC 28150-5568 Ph: (704) 484-1058 | Professional Care Llc 320 E Graham St Ste 1 Shelby NC 28150-5568 Ph: (704) 484-1058 |
| NPI Number | 1144541277 |
|---|---|
| Provider Enumeration Date | 06/11/2010 |
| Last Update Date | 06/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144541277 | NPI | - | NPPES |
| 8302573 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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