| Shifting Paradigms Counseling And Consulting, Pc | |
|
9635 Southern Pine Blvd Ste 127 Charlotte NC 28273-5563 | |
| (704) 207-0423 | |
| (704) 625-7129 |
| Full Name | Shifting Paradigms Counseling And Consulting, Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 9635 Southern Pine Blvd Ste 127, Charlotte, North Carolina |
| Authorized Official Name and Position | Terry Massey (OWNER/FORENSIC PSYCHOTHERAPIST) |
| Authorized Official Contact | 7044913097 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shifting Paradigms Counseling And Consulting, Pc Po Box 178 Mount Holly NC 28120-0178 Ph: (704) 491-3097 | Shifting Paradigms Counseling And Consulting, Pc 9635 Southern Pine Blvd Ste 127 Charlotte NC 28273-5563 Ph: (704) 207-0423 |
| NPI Number | 1144586017 |
|---|---|
| Provider Enumeration Date | 04/05/2012 |
| Last Update Date | 12/27/2021 |
| Certification Date | 12/27/2021 |
| Medicare PECOS PAC ID | 9436540275 |
|---|---|
| Medicare Enrollment ID | O20220105000604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144586017 | NPI | - | NPPES |
| 6007186 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C005677 (North Carolina) | Primary |
| Provider Name | Terry Massey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508991829 PECOS PAC ID: 1456511302 Enrollment ID: I20120329000724 |
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