| The Change From Within Counseling Center Pllc | |
|
221 1st Ave Nw Ste 207 Hickory NC 28601-6149 | |
| (828) 312-0850 | |
| Not Available |
| Full Name | The Change From Within Counseling Center Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 221 1st Ave Nw Ste 207, Hickory, North Carolina |
| Authorized Official Name and Position | Tia Evans (OWNER/THERAPIST) |
| Authorized Official Contact | 8283120850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Change From Within Counseling Center Pllc 4951 Mayble St Catawba NC 28609-9306 Ph: () - | The Change From Within Counseling Center Pllc 221 1st Ave Nw Ste 207 Hickory NC 28601-6149 Ph: (828) 312-0850 |
| NPI Number | 1689236812 |
|---|---|
| Provider Enumeration Date | 07/09/2019 |
| Last Update Date | 07/09/2019 |
| Medicare PECOS PAC ID | 6901338326 |
|---|---|
| Medicare Enrollment ID | O20241010000641 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689236812 | NPI | - | NPPES |
| Provider Name | Tia Theann Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932517836 PECOS PAC ID: 5496975039 Enrollment ID: I20160915001732 |
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