| Elda-rosa R Coulthrust, LCMHC | |
|
7825 Ballantyne Commons Pkwy, Ste 110, Charlotte, NC 28277-3174 | |
| (704) 446-0391 | |
| Not Available |
| Full Name | Elda-rosa R Coulthrust |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 18 Years |
| Location | 7825 Ballantyne Commons Pkwy, Charlotte, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154643591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 8640 (North Carolina) | Secondary |
| 101YM0800X | Counselor - Mental Health | 8640 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Charlotte-mecklenburg Hospital Authority | 2961310685 | 512 |
| Entity Name | The Charlotte-mecklenburg Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669738829 PECOS PAC ID: 2961310685 Enrollment ID: O20100309000605 |
| Mailing Address | Practice Location Address |
|---|---|
| Elda-rosa R Coulthrust, LCMHC Po Box 19305, Charlotte, NC 28219-9305 Ph: () - | Elda-rosa R Coulthrust, LCMHC 7825 Ballantyne Commons Pkwy, Ste 110, Charlotte, NC 28277-3174 Ph: (704) 446-0391 |
Dr. Jeff Randall Mishoe, D.MIN. Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 East Blvd, C-8, Charlotte, NC 28203 Phone: 704-344-1100 Fax: 704-344-1100 | |
Meredith Garofalo, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2339 Chesterfield Ave, Charlotte, NC 28205 Phone: 773-263-6765 | |
Reggie Moses, ST. Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 East Blvd, Charlotte, NC 28203 Phone: 704-332-0081 Fax: 704-332-0085 | |
Dr. Terri Lynn Tilford, EDD Counselor Medicare: Not Enrolled in Medicare Practice Location: 10130 Mallard Creek Rd Ste 300, Charlotte, NC 28262 Phone: 980-689-4127 | |
Emily Reiner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2511 Yadkin Ave, Charlotte, NC 28205 Phone: 470-289-6301 | |
Lindsey Yvette Donatien, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 5200 Park Rd Ste 218b, Charlotte, NC 28209 Phone: 866-700-1606 Fax: 866-338-5921 | |
Brooke Anderson Carr, LPCA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 769 N Wendover Rd, Charlotte, NC 28211 Phone: 704-376-7180 Fax: 704-531-9266 |