Healthcare Provider Details

I. General information

NPI: 1902159445
Provider Name (Legal Business Name): ALTERNATIVES COUNSELING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2012
Last Update Date: 10/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 N MAIN ST
SALISBURY NC
28144-4301
US

IV. Provider business mailing address

323 N MAIN ST
SALISBURY NC
28144-4301
US

V. Phone/Fax

Practice location:
  • Phone: 704-639-1616
  • Fax: 704-639-1699
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberMHL-080-135
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHL-080-135
License Number StateNC

VIII. Authorized Official

Name: CHRISTINA REBECCA DEMARY
Title or Position: CO-DIRECTOR
Credential:
Phone: 704-639-1616