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NPI Code Detail

MEDICARE: GASTON-LIMCON-CLEVELAND MENTAL HEALTH

MEDICARE: GASTON-LIMCON-CLEVELAND MENTAL HEALTH
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
11041C0700XClinical Social WorkerC001132NC
2101YP2500XProfessional Counselor91NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
191OTHERNCLPC
2C001132OTHERNCLCSW

General Provider Information

NPI Number : 1639247026
Entity Type Code : Organization
Provider Name (Legal Business Name) : GASTON-LIMCON-CLEVELAND MENTAL HEALTH
Provider Business Mailing Address
First Line : 2116 HELEN DR
Second Line :
City : GASTONIA
State : NC
Zip : 28054-1934
Country : US
Telephone Number : 704-865-5898
Fax Number :
Provider Business Practice Location Address
First Line : 901 S NEW HOPE RD
Second Line :
City : GASTONIA
State : NC
Zip : 28054-5829
Country : US
Telephone Number : 704-867-2361
Fax Number :
Authorized Official
Title or Position : AREA DIRECTOR
Name : MR. RHETT MELTON
Credential :
Telephone Number : 704-867-2361
Provider Enumeration Date : 12/01/2006
Last Update Date : 09/11/2025

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Directions to “GASTON-LIMCON-CLEVELAND MENTAL HEALTH ” Practice Location

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