=====================================================
General NPI Number Information
=====================================================
NPI Number | 1417490418
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ANOTHER WAY COUNSELING AND HYPNOSIS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/22/2016
-----------------------------------------------------
Last Update Date | 11/22/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 422 JULIAN AVE
-----------------------------------------------------
City | THOMASVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27360-4835
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-891-2937
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 166 BULLINS LN
-----------------------------------------------------
City | ASHEBORO
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27205-1608
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-862-9476
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | LAURA J CASHATT
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 336-862-9476
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number | 6975
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------