Healthcare Provider Details

I. General information

NPI: 1316761000
Provider Name (Legal Business Name): RENEE R SEFCHICK LCMHC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2024
Last Update Date: 11/11/2024
Certification Date: 11/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3140 N NC 16 BUSINESS HWY STE 106
DENVER NC
28037-7315
US

IV. Provider business mailing address

10224 HICKORYWOOD HILL AVE STE 205
HUNTERSVILLE NC
28078-3474
US

V. Phone/Fax

Practice location:
  • Phone: 704-896-9405
  • Fax: 704-748-0080
Mailing address:
  • Phone: 704-896-9405
  • Fax: 704-748-0080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA18388
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: