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NPI Code Detail

MEDICARE: BATTLEFIELD COUNSELING, LLC

MEDICARE: BATTLEFIELD COUNSELING, LLC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YP2500XProfessional Counselor
3251S00000XCommunity/Behavioral Health Agency

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 : 1780338509
Entity Type Code : Organization
Provider Name (Legal Business Name) : BATTLEFIELD COUNSELING, LLC
Provider Business Mailing Address
First Line : 914 N ELM ST STE E
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-6319
Country : US
Telephone Number : 336-310-5098
Fax Number :
Provider Business Practice Location Address
First Line : 326 S EUGENE ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-2322
Country : US
Telephone Number : 336-310-5098
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : WILLIAM ANTHONY BURCHETTE
Credential : LCMHC-A, LCAS, CRC
Telephone Number : 336-423-6140
Provider Enumeration Date : 02/10/2022
Last Update Date : 08/01/2024

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