| The Village Behavioral Healthcare Services, Inc | |
|
3126 Milton Rd Ste 233 Charlotte NC 28215-3782 | |
| (704) 817-9117 | |
| (855) 299-3536 |
| Full Name | The Village Behavioral Healthcare Services, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 3126 Milton Rd Ste 233, Charlotte, North Carolina |
| Authorized Official Name and Position | Malik Ashhali (OWNER, CLINICAL THERAPIST) |
| Authorized Official Contact | 7048913481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Village Behavioral Healthcare Services, Inc 3126 Milton Rd Ste 233 Charlotte NC 28215-3782 Ph: (704) 891-3481 | The Village Behavioral Healthcare Services, Inc 3126 Milton Rd Ste 233 Charlotte NC 28215-3782 Ph: (704) 817-9117 |
| NPI Number | 1164878880 |
|---|---|
| Provider Enumeration Date | 05/11/2016 |
| Last Update Date | 04/06/2022 |
| Certification Date | 04/06/2022 |
| Medicare PECOS PAC ID | 0446596100 |
|---|---|
| Medicare Enrollment ID | O20190117000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164878880 | NPI | - | NPPES |
| Provider Name | Malik Ashhali |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730424169 PECOS PAC ID: 2365705902 Enrollment ID: I20180413001071 |
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