| Gregory Suddreth, | |
|
106 3rd Ave Ne, Hickory, NC 28601-5014 | |
| (828) 322-9130 | |
| (828) 322-7890 |
| Full Name | Gregory Suddreth |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 106 3rd Ave Ne, Hickory, 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 |
|---|---|---|---|
| 1457781536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 3579 (North Carolina) | Secondary |
| 101YM0800X | Counselor - Mental Health | 10489 (North Carolina) | Primary |
| Entity Name | The Counseling Group, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962541888 PECOS PAC ID: 0345274767 Enrollment ID: O20050923000887 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Suddreth, 1617 16th St Ne, Hickory, NC 28601-2815 Ph: (828) 461-2822 | Gregory Suddreth, 106 3rd Ave Ne, Hickory, NC 28601-5014 Ph: (828) 322-9130 |
Juanita Brown, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 306 4th St Sw, Hickory, NC 28602 Phone: 828-201-0620 | |
Yer Vang, MA, LCMHCA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2810 16th St Ne, Hickory, NC 28601 Phone: 828-820-8066 | |
Abigail Shook, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1270 25th Street Pl Se Ste 3, Hickory, NC 28602 Phone: 704-360-3049 | |
Dr. Jonathan Golden, PH.D., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 3rd Ave Ne, Hickory, NC 28601 Phone: 828-322-6058 | |
Mrs. Angela S. Langford, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 7th Ave Sw, Hickory, NC 28602 Phone: 828-327-6633 Fax: 828-327-3385 | |
Emma Claire Clarke, MSW, LCSWA, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 741 5th St Sw, Hickory, NC 28602 Phone: 828-322-5915 | |
Mr. James A Wachsmuth, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3050 11th Ave Dr Se, Hickory, NC 28602 Phone: 828-695-6500 Fax: 828-659-4729 |