MEDICARE: BETH ANN BAREITER LPC, LMFT

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	NORTH CAROLINA	NC

General Provider Information

NPI Number	:	1962413088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETH ANN BAREITER LPC, LMFT

Provider Business Mailing Address
First Line	:	228 E PARK AVE
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28203-4750
Country	:	US
Telephone Number	:	704-334-0524
Fax Number	:	704-334-0524

Provider Business Practice Location Address
First Line	:	228 E PARK AVE
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28203-4750
Country	:	US
Telephone Number	:	704-334-0524
Fax Number	:	704-334-0524

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	07/08/2007

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