| Gaston Family Counseling Center | |
|
409 S Oakland St Gastonia NC 28052-4312 | |
| (704) 874-9005 | |
| (704) 874-9001 |
| Full Name | Gaston Family Counseling Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 409 S Oakland St, Gastonia, North Carolina |
| Authorized Official Name and Position | Sharmila Alexander Anderson (BUSINESS SERVICE ADMINISTRATOR) |
| Authorized Official Contact | 7048741907 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaston Family Counseling Center 200 E Second Ave Gastonia NC 28052-4358 Ph: (704) 874-1904 | Gaston Family Counseling Center 409 S Oakland St Gastonia NC 28052-4312 Ph: (704) 874-9005 |
| NPI Number | 1114322922 |
|---|---|
| Provider Enumeration Date | 10/23/2014 |
| Last Update Date | 01/15/2020 |
| Medicare PECOS PAC ID | 5496733925 |
|---|---|
| Medicare Enrollment ID | O20150529000295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114322922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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