MEDICARE: CHRONIC HEALTH COUNSELING, PLLC

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
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1275029423
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRONIC HEALTH COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	845 CHURCH ST N STE 208-3
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28025-4300
Country	:	US
Telephone Number	:	704-517-2106
Fax Number	:	855-975-2701

Provider Business Practice Location Address
First Line	:	845 CHURCH ST N STE 208-3
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28025-4300
Country	:	US
Telephone Number	:	704-517-2106
Fax Number	:	855-975-2701

Authorized Official
Title or Position	:	CEO
Name	:	ANGELA ESPIN
Credential	:
Telephone Number	:	704-517-2106

Provider Enumeration Date	:	07/10/2018
Last Update Date	:	06/23/2026

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