| Support Incorporated | |
|
2110 Main Ave Se Ste West Hickory NC 28602-1405 | |
| (704) 865-3529 | |
| (704) 867-0638 |
| Full Name | Support Incorporated |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2110 Main Ave Se Ste West, Hickory, North Carolina |
| Authorized Official Name and Position | Linda Mead (REIMBURSEMENT/CONTRACT MANAGER) |
| Authorized Official Contact | 7048653529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Support Incorporated Po Box 4003 Gastonia NC 28054-0041 Ph: (704) 865-3529 | Support Incorporated 2110 Main Ave Se Ste West Hickory NC 28602-1405 Ph: (704) 865-3529 |
| NPI Number | 1851718548 |
|---|---|
| Provider Enumeration Date | 03/20/2014 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851718548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-018-095 (North Carolina) | Primary |
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