Healthcare Provider Details

I. General information

NPI: 1710018676
Provider Name (Legal Business Name): NEW DIRECTIONS CS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 12/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 N FLINT ST
LINCOLNTON NC
28092-5239
US

IV. Provider business mailing address

201 GOVERNMENT AVE SW SUITE 305
HICKORY NC
28602-2954
US

V. Phone/Fax

Practice location:
  • Phone: 828-267-1740
  • Fax: 828-267-1746
Mailing address:
  • Phone: 828-267-1740
  • Fax: 828-267-1746

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5038
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number5038
License Number StateNC

VIII. Authorized Official

Name: MR. GARY E MEOSKY
Title or Position: MANAGING PARTNER
Credential: LCSW
Phone: 828-267-1740