MEDICARE: CORE THERAPY AND RESOLUTIONS, 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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1417633066
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORE THERAPY AND RESOLUTIONS, PLLC.

Provider Business Mailing Address
First Line	:	1320 N HAMILTON ST STE 103
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27262-2731
Country	:	US
Telephone Number	:	336-781-0058
Fax Number	:

Provider Business Practice Location Address
First Line	:	1320 N HAMILTON ST STE 103
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27262-2731
Country	:	US
Telephone Number	:	336-781-0058
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	MRS. SEANEE GARRIS ALEXANDER
Credential	:	LCSW
Telephone Number	:	336-781-0058

Provider Enumeration Date	:	06/27/2023
Last Update Date	:	06/27/2023

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