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NPI Code Detail

MEDICARE: ASSOCIATES IN CHRISTIAN COUNSELING

MEDICARE: ASSOCIATES IN CHRISTIAN COUNSELING
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
1103TC0700XClinical Psychologist3057ND

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1016PPOTHERNCBCBS NC GROUP NUMBER

General Provider Information

NPI Number : 1609890268
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASSOCIATES IN CHRISTIAN COUNSELING
Provider Business Mailing Address
First Line : 8025 N POINT BLVD
Second Line : SUITE 231
City : WINSTON SALEM
State : NC
Zip : 27106-3262
Country : US
Telephone Number : 336-896-0065
Fax Number : 336-896-0710
Provider Business Practice Location Address
First Line : 8025 N POINT BLVD
Second Line : SUITE 231
City : WINSTON SALEM
State : NC
Zip : 27106-3262
Country : US
Telephone Number : 336-896-0065
Fax Number : 336-896-0710
Authorized Official
Title or Position : MGR, OPERATIONS & DEVELOPMENT
Name : MR. RICK E. COLE
Credential :
Telephone Number : 336-896-0065
Provider Enumeration Date : 07/27/2006
Last Update Date : 11/05/2015

Similar Medicare Providers

1447200985 — DR. ANNE CREECH HINES M.D.
Practice Location Address:
8025 N POINT BLVD , SUITE 215-B
WINSTON SALEM, NC
27106-3262
Practice Phone: 336-896-0954
Practice Fax: 336-896-0955
1700892619 — DR. JOSEPH THOMAS VERGA PHD
Practice Location Address:
8025 N POINT BLVD , SUITE 231
WINSTON SALEM, NC
27106-3262
Practice Phone: 336-896-0065
Practice Fax: 336-896-0710
1982718045 — DR. HEATH GREENE PH.D.
Practice Location Address:
8025 N POINT BLVD , SUITE 231
WINSTON SALEM, NC
27106-3262
Practice Phone: 336-896-0065
Practice Fax: 336-896-0710
1265547665 — DR. JENNIFER MCCAIN THOMAS PH.D.
Practice Location Address:
ASSOCIATES IN CHRISTIAN COUNSELING , 8025 NORTH POINT BOULEVARD, SUITE 231
WINSTON-SALEM, NC
27106-3262
Practice Phone: 336-896-0065
Practice Fax: 336-896-0710
1598873150 — MS. DOROTHY ARENTS CAUDILL LPC
Practice Location Address:
8025 N POINT BLVD , 203
WINSTON SALEM, NC
27106-3262
Practice Phone: 336-896-0065
Practice Fax: 336-896-0710
1134220999 — JANE W BAILEY LPC
Practice Location Address:
8025 N POINT BLVD , SUITE 231
WINSTON SALEM, NC
27106-3262
Practice Phone: 336-896-0065
Practice Fax: 336-896-0710

Directions to “ASSOCIATES IN CHRISTIAN COUNSELING ” Practice Location

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