MEDICARE: ESSENTIAL CONCEPTS INC.

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	3723	NC

Other Identifiers

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

General Provider Information

NPI Number	:	1457485476
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESSENTIAL CONCEPTS INC.

Provider Business Mailing Address
First Line	:	PO BOX 1792
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27261-1792
Country	:	US
Telephone Number	:	336-688-6757
Fax Number	:

Provider Business Practice Location Address
First Line	:	2211 W MEADOWVIEW RD
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27407-3409
Country	:	US
Telephone Number	:	336-688-6757
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. CHRISTOPHER BERNARD TOWNSEND
Credential	:	LPC, LCAS, CCS, NCC
Telephone Number	:	336-688-6757

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	07/01/2010

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Directions to “ESSENTIAL CONCEPTS INC. ” Practice Location

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