| Spirit Song, Llc | |
|
922 3rd Ave Nw Hickory NC 28601-4849 | |
| (828) 324-4668 | |
| (828) 324-4748 |
| Full Name | Spirit Song, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 922 3rd Ave Nw, Hickory, North Carolina |
| Authorized Official Name and Position | Sara Nafziger-shelly (OWNER, CHILD/ADOLESCENT THERAPIST) |
| Authorized Official Contact | 8283244668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spirit Song, Llc 922 3rd Ave Nw Hickory NC 28601-4849 Ph: (828) 324-4668 | Spirit Song, Llc 922 3rd Ave Nw Hickory NC 28601-4849 Ph: (828) 324-4668 |
| NPI Number | 1427338086 |
|---|---|
| Provider Enumeration Date | 08/26/2011 |
| Last Update Date | 08/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427338086 | NPI | - | NPPES |
| 6002094 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (North Carolina) | Primary |
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