Reclaimed I.d. Counseling And Consultation, Pllc | |
2938 Ebb Shore Dr Archdale NC 27263-8910 | |
(336) 804-2243 | |
Not Available |
Full Name | Reclaimed I.d. Counseling And Consultation, Pllc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 2938 Ebb Shore Dr, Archdale, North Carolina |
Authorized Official Name and Position | Casey West (OWNER) |
Authorized Official Contact | 3368042243 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Reclaimed I.d. Counseling And Consultation, Pllc 2938 Ebb Shore Dr Archdale NC 27263-8910 Ph: (336) 804-2243 | Reclaimed I.d. Counseling And Consultation, Pllc 2938 Ebb Shore Dr Archdale NC 27263-8910 Ph: (336) 804-2243 |
NPI Number | 1750156691 |
---|---|
Provider Enumeration Date | 11/21/2023 |
Last Update Date | 11/21/2023 |
Certification Date | 11/21/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750156691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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