| Supportive Solutions, Llc | |
|
1337 E Garrison Blvd Gastonia NC 28054-5127 | |
| (704) 865-3848 | |
| (704) 854-3086 |
| Full Name | Supportive Solutions, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1337 E Garrison Blvd, Gastonia, North Carolina |
| Authorized Official Name and Position | Robert Claude Brown (OWNER) |
| Authorized Official Contact | 8283581110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Solutions, Llc Po Box 744786 Atlanta GA 30374-4786 Ph: (704) 834-2450 | Supportive Solutions, Llc 1337 E Garrison Blvd Gastonia NC 28054-5127 Ph: (704) 865-3848 |
| NPI Number | 1255690731 |
|---|---|
| Provider Enumeration Date | 05/03/2012 |
| Last Update Date | 09/13/2022 |
| Certification Date | 09/13/2022 |
| Medicare PECOS PAC ID | 4981869518 |
|---|---|
| Medicare Enrollment ID | O20120706000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255690731 | NPI | - | NPPES |
| 1104340892 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Julia L Childers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124246772 PECOS PAC ID: 7911096185 Enrollment ID: I20071211000518 |
| Provider Name | Robert Claude Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073808242 PECOS PAC ID: 6709056021 Enrollment ID: I20110824000458 |
| Provider Name | Amy H Rudd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306184106 PECOS PAC ID: 7517180219 Enrollment ID: I20140528000612 |
| Provider Name | Chelsey Harrill Morrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104340892 PECOS PAC ID: 9931522505 Enrollment ID: I20200715000933 |
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