| Vitality Wellness Counseling & Clinical Services Pllc | |
|
564 Ashe Way Kernersville NC 27284-6976 | |
| (336) 517-6427 | |
| Not Available |
| Full Name | Vitality Wellness Counseling & Clinical Services Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 564 Ashe Way, Kernersville, North Carolina |
| Authorized Official Name and Position | Tionna Brice (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3365176427 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Wellness Counseling & Clinical Services Pllc 10926 David Taylor Dr Ste 120 Charlotte NC 28262-0039 Ph: (336) 517-6427 | Vitality Wellness Counseling & Clinical Services Pllc 564 Ashe Way Kernersville NC 27284-6976 Ph: (336) 517-6427 |
| NPI Number | 1154146207 |
|---|---|
| Provider Enumeration Date | 11/22/2024 |
| Last Update Date | 11/22/2024 |
| Certification Date | 11/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154146207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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