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NPI Code Detail

MEDICARE: YOU FIRST THERAPEUTIC SERVICES PLLC

MEDICARE: YOU FIRST THERAPEUTIC SERVICES 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 Counselor7160NC
2101YP2500XProfessional Counselor7160NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558809004
Entity Type Code : Organization
Provider Name (Legal Business Name) : YOU FIRST THERAPEUTIC SERVICES PLLC
Provider Business Mailing Address
First Line : 7005 WALLACE RD STE 200
Second Line :
City : CHARLOTTE
State : NC
Zip : 28212-6886
Country : US
Telephone Number : 704-840-2848
Fax Number :
Provider Business Practice Location Address
First Line : 7005 WALLACE RD STE 200
Second Line :
City : CHARLOTTE
State : NC
Zip : 28212-6886
Country : US
Telephone Number : 704-840-2848
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. SIMONE SERVICES REEVES
Credential : MA,LPCS
Telephone Number : 704-840-2848
Provider Enumeration Date : 02/05/2017
Last Update Date : 03/13/2017

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Directions to “YOU FIRST THERAPEUTIC SERVICES PLLC ” Practice Location

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