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NPI Code Detail

MEDICARE: EMILY TEAGUE PALMIERI LPC, NCC, M.S., EDS

MEDICARE: EMILY TEAGUE PALMIERI LPC, NCC, M.S., EDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorA8726NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112234601OTHERNCBCBS

General Provider Information

NPI Number : 1013205459
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY TEAGUE PALMIERI LPC, NCC, M.S., EDS
Provider Business Mailing Address
First Line : 360 N CASWELL RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28204-2442
Country : US
Telephone Number : 336-269-7070
Fax Number : 336-269-7070
Provider Business Practice Location Address
First Line : 360 N CASWELL RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28204-2442
Country : US
Telephone Number : 336-269-7070
Fax Number : 336-269-7070
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2011
Last Update Date : 07/29/2013

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