Kimberly C Sturdivant, MA, LPCA, LCAS-A | |
284 Executive Park Dr, Suite 100, Concord, NC 28025-1831 | |
(704) 939-1100 | |
(704) 939-1173 |
Full Name | Kimberly C Sturdivant |
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Gender | Female |
Speciality | Counselor |
Location | 284 Executive Park Dr, Concord, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285877902 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 3578A (North Carolina) | Secondary |
101Y00000X | Counselor | A9082 (North Carolina) | Primary |
Entity Name | Novant Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
Entity Name | Forsyth Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702 |
Mailing Address | Practice Location Address |
---|---|
Kimberly C Sturdivant, MA, LPCA, LCAS-A 10715 Norway Spruce Ct, Charlotte, NC 28262-2417 Ph: (980) 285-8255 | Kimberly C Sturdivant, MA, LPCA, LCAS-A 284 Executive Park Dr, Suite 100, Concord, NC 28025-1831 Ph: (704) 939-1100 |
Ms. Amber Medlin Glover, LCSWA, LCAS Counselor Medicare: Accepting Medicare Assignments Practice Location: 101 Cabarrus Ave E Ste 200, Concord, NC 28025 Phone: 855-743-2247 Fax: 855-857-7333 | |
Bridgette Jeannine Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 284 Executive Park Dr, Suite 100, Concord, NC 28025 Phone: 704-939-1100 | |
Teresa Mcgee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Copperfield Blvd Ne Ste 105, Concord, NC 28025 Phone: 704-332-9001 Fax: 704-332-0124 | |
Laurie Ann Pitts, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 845 Church St. North, Concord, NC 28025 Phone: 704-280-0066 | |
Heather Tavella, LPC, LCAS, CS-I, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 284 Executive Park Dr, Concord, NC 28025 Phone: 704-939-1000 | |
Chaz Avery Batson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 284 Executive Park Drive, Suite 100, Concord, NC 28025 Phone: 704-939-1100 Fax: 704-939-1173 | |
Sherell Denise Smalls, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 845 N Church St, Suite 305, Concord, NC 28205 Phone: 704-262-1336 |