MEDICARE: TEMEKIA N. TONEY

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	251S00000X	Community/Behavioral Health Agency	C005464	NC

General Provider Information

NPI Number	:	1306084256
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEMEKIA N. TONEY

Provider Business Mailing Address
First Line	:	PO BOX 34654
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28234-4654
Country	:	US
Telephone Number	:	704-281-7868
Fax Number	:

Provider Business Practice Location Address
First Line	:	1927 JN PEASE PL STE 104
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-4536
Country	:	US
Telephone Number	:	704-281-7868
Fax Number	:

Authorized Official
Title or Position	:	LICENSED CLINICAL SOCIAL WORKER
Name	:	MS. TEMEKIA NATASHA TONEY
Credential	:	LCSW
Telephone Number	:	704-281-7868

Provider Enumeration Date	:	01/30/2009
Last Update Date	:	01/05/2010

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