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1811410855

NPI Code Detail

MEDICARE: HOSFORD & WELSH, LLC

MEDICARE: HOSFORD & WELSH, LLC

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	101YP2500X	Professional Counselor	A10410	NC
2	101YP2500X	Professional Counselor	4322	NC
3	103TC0700X	Clinical Psychologist	4981	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811410855
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSFORD & WELSH, LLC

Provider Business Mailing Address
First Line	:	17105 KENTON DR STE 201C
Second Line	:
City	:	CORNELIUS
State	:	NC
Zip	:	28031-5654
Country	:	US
Telephone Number	:	704-340-6722
Fax Number	:

Provider Business Practice Location Address
First Line	:	17105 KENTON DR STE 201C
Second Line	:
City	:	CORNELIUS
State	:	NC
Zip	:	28031-5654
Country	:	US
Telephone Number	:	704-340-6722
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	MS. AMY L HOSFORD
Credential	:	LPCA
Telephone Number	:	980-689-2682

Provider Enumeration Date	:	07/21/2017
Last Update Date	:	07/21/2022

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Directions to “HOSFORD & WELSH, LLC ” Practice Location

Language	Start Address	Practice Location

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