MEDICARE: SPRING POINT COUNSELING PLLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1215653142
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRING POINT COUNSELING PLLC

Provider Business Mailing Address
First Line	:	10225 HICKORYWOOD HILL AVE STE A
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-3431
Country	:	US
Telephone Number	:	704-796-9037
Fax Number	:

Provider Business Practice Location Address
First Line	:	10225 HICKORYWOOD HILL AVE STE A
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-3431
Country	:	US
Telephone Number	:	704-796-9037
Fax Number	:

Authorized Official
Title or Position	:	MENTAL HEALTH COUNSELOR
Name	:	TIMOTHY ALEXANDER SPITZHOFF
Credential	:	LCMCHCA
Telephone Number	:	704-796-9037

Provider Enumeration Date	:	10/12/2022
Last Update Date	:	10/12/2022

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