| Stafford & Associates Counseling, Pllc | |
|
121 Rolling Hill Rd Ste 225 Mooresville NC 28117-8861 | |
| (704) 534-5997 | |
| Not Available |
| Full Name | Stafford & Associates Counseling, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 121 Rolling Hill Rd Ste 225, Mooresville, North Carolina |
| Authorized Official Name and Position | Nancni Burt (CLINICAL THERAPIST, OWNER) |
| Authorized Official Contact | 7045345997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stafford & Associates Counseling, Pllc 121 Rolling Hill Rd Ste 225 Mooresville NC 28117-8861 Ph: (704) 534-5997 | Stafford & Associates Counseling, Pllc 121 Rolling Hill Rd Ste 225 Mooresville NC 28117-8861 Ph: (704) 534-5997 |
| NPI Number | 1609460567 |
|---|---|
| Provider Enumeration Date | 02/22/2021 |
| Last Update Date | 05/19/2021 |
| Certification Date | 05/19/2021 |
| Medicare PECOS PAC ID | 1254799315 |
|---|---|
| Medicare Enrollment ID | O20230621002892 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609460567 | NPI | - | NPPES |
| 1720451628 | Other | NC | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
| Provider Name | Nanci Stafford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720451628 PECOS PAC ID: 2163880220 Enrollment ID: I20230621003516 |
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