Victory Family Counseling | |
11 Union St S Ste 200 Concord NC 28025-5098 | |
(704) 918-9741 | |
(704) 270-6213 |
Full Name | Victory Family Counseling |
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Speciality | Community/Behavioral Health |
Location | 11 Union St S Ste 200, Concord, North Carolina |
Authorized Official Name and Position | Sandra Francis Rettis (OWNER / BILINGUAL THERAPIST) |
Authorized Official Contact | 7049189315 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Victory Family Counseling 11 Union St S Ste 200 Concord NC 28025-5098 Ph: (704) 918-9741 | Victory Family Counseling 11 Union St S Ste 200 Concord NC 28025-5098 Ph: (704) 918-9741 |
NPI Number | 1063000610 |
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Provider Enumeration Date | 01/08/2021 |
Last Update Date | 10/08/2024 |
Certification Date | 10/08/2024 |
Medicare PECOS PAC ID | 6901211721 |
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Medicare Enrollment ID | O20210209000179 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063000610 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Sandra Francis Rettis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033688429 PECOS PAC ID: 7719392539 Enrollment ID: I20210209000342 |
Provider Name | Katie Elaine Parenti |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932674876 PECOS PAC ID: 3274913868 Enrollment ID: I20220628003714 |
Provider Name | Shaquila O'shay Renee Brummitt |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1164030433 PECOS PAC ID: 9830559236 Enrollment ID: I20230717003298 |
Provider Name | Jarytza Avalos Linares |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780344903 PECOS PAC ID: 8325483241 Enrollment ID: I20240301002325 |
Provider Name | Skyler Elle Taylor |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1790483162 PECOS PAC ID: 5496192767 Enrollment ID: I20240321003366 |
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