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NPI Code Detail

MEDICARE: THE KOHLER GROUP, PLLC

MEDICARE: THE KOHLER GROUP, 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
1101YM0800XMental Health Counselor3949NC

General Provider Information

NPI Number : 1356855670
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE KOHLER GROUP, PLLC
Provider Business Mailing Address
First Line : 13420 REESE BLVD W STE 29
Second Line :
City : HUNTERSVILLE
State : NC
Zip : 28078-7925
Country : US
Telephone Number : 252-758-8636
Fax Number : 252-758-2227
Provider Business Practice Location Address
First Line : 13420 REESE BLVD W STE 29
Second Line :
City : HUNTERSVILLE
State : NC
Zip : 28078-7925
Country : US
Telephone Number : 252-758-8636
Fax Number : 252-758-2227
Authorized Official
Title or Position : PRACTICE MANAGER
Name : ASHLEY BOSTIC
Credential :
Telephone Number : 252-758-8636
Provider Enumeration Date : 11/22/2017
Last Update Date : 12/16/2025

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Directions to “THE KOHLER GROUP, PLLC ” Practice Location

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