MEDICARE: ARTIZO MINISTRIES

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1518621341
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARTIZO MINISTRIES

Provider Business Mailing Address
First Line	:	755 BALLS MILL RD
Second Line	:
City	:	NORTH WILKESBORO
State	:	NC
Zip	:	28659-9533
Country	:	US
Telephone Number	:	336-298-2944
Fax Number	:	336-818-5444

Provider Business Practice Location Address
First Line	:	755 BALLS MILL RD
Second Line	:
City	:	NORTH WILKESBORO
State	:	NC
Zip	:	28659-9533
Country	:	US
Telephone Number	:	336-298-2944
Fax Number	:	336-818-5444

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	JULIE KLECKER
Credential	:	LCMHC, LPC, PC
Telephone Number	:	336-298-2944

Provider Enumeration Date	:	10/27/2021
Last Update Date	:	03/26/2026

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Directions to “ARTIZO MINISTRIES ” Practice Location

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