| Nicole Ayssa Lollis, LCMHC | |
|
1730 Kernersville Medical Pkwy Ste 101, Kernersville, NC 27284-7198 | |
| (336) 564-4950 | |
| (336) 564-4959 |
| Full Name | Nicole Ayssa Lollis |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 9 Years |
| Location | 1730 Kernersville Medical Pkwy Ste 101, Kernersville, 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 |
|---|---|---|---|
| 1851816193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 13006 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Health Medical Group, Llc | 1153234893 | 2144 |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Ayssa Lollis, LCMHC Po Box 60447, Charlotte, NC 28260-0447 Ph: (336) 564-4950 | Nicole Ayssa Lollis, LCMHC 1730 Kernersville Medical Pkwy Ste 101, Kernersville, NC 27284-7198 Ph: (336) 564-4950 |
Lauren Marie Gallison, M.S., LPCA Counselor Medicare: Accepting Medicare Assignments Practice Location: 280 Broad St Ste E, Kernersville, NC 27284 Phone: 336-277-6050 Fax: 336-992-3141 | |
Paige Marie Campbell, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 520a Arbor Hill Rd, Kernersville, NC 27284 Phone: 336-455-0483 | |
Q'neishia Danielle Lee, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 5836 Kenville Green Cir, Kernersville, NC 27284 Phone: 919-922-0713 | |
Amber Moore, LCAS, SAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 822 Old Winston Rd, Suite 5, Kernersville, NC 27284 Phone: 336-558-0219 | |
Shelby Gabello, MS, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 520a Arbor Hill Rd, Kernersville, NC 27284 Phone: 336-283-3830 | |
Hannah Gilreath Koehler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 N Main St, Kernersville, NC 27284 Phone: 336-283-3830 | |
Amelia Britt, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 N Main St Ste 210, Kernersville, NC 27284 Phone: 336-283-3830 |