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NPI Code Detail

MEDICARE: AHSAT COUNSELING AND CONSULTING. PLLC

MEDICARE: AHSAT COUNSELING AND CONSULTING. 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
1251S00000XCommunity/Behavioral Health Agency266NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306144910
Entity Type Code : Organization
Provider Name (Legal Business Name) : AHSAT COUNSELING AND CONSULTING. PLLC
Provider Business Mailing Address
First Line : 8340 ROLLING MEADOWS LN
Second Line :
City : HUNTERSVILLE
State : NC
Zip : 28078-3353
Country : US
Telephone Number : 704-999-7378
Fax Number :
Provider Business Practice Location Address
First Line : 13420 REESE BLVD W
Second Line :
City : HUNTERSVILLE
State : NC
Zip : 28078-7925
Country : US
Telephone Number : 704-999-7378
Fax Number :
Authorized Official
Title or Position : OWNER/ PRESIDENT
Name : LATASHA MICHELLE QUAILES ELLIS
Credential : LCSW
Telephone Number : 704-999-7378
Provider Enumeration Date : 03/05/2011
Last Update Date : 03/05/2011

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