MEDICARE: CORPORATE HEALTH INTERNATIONAL

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	101YP2500X	Professional Counselor	891	NC

General Provider Information

NPI Number	:	1942489687
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORPORATE HEALTH INTERNATIONAL

Provider Business Mailing Address
First Line	:	4400 PARK RD
Second Line	:	THIRD FLOOR
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-3139
Country	:	US
Telephone Number	:	800-633-3353
Fax Number	:	704-529-5917

Provider Business Practice Location Address
First Line	:	4400 PARK RD
Second Line	:	THIRD FLOOR
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-3139
Country	:	US
Telephone Number	:	800-633-3353
Fax Number	:	704-529-5917

Authorized Official
Title or Position	:	EAP COUNSELOR
Name	:	JOHN T TROMBELLO
Credential	:	LPC, CEAP, SAP
Telephone Number	:	800-633-3353

Provider Enumeration Date	:	10/30/2007
Last Update Date	:	10/30/2007

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Practice Location Address:

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Directions to “CORPORATE HEALTH INTERNATIONAL ” Practice Location

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