| Ahsat Counseling And Consulting. Pllc | |
|
13420 Reese Blvd W Huntersville NC 28078-7925 | |
| (704) 999-7378 | |
| Not Available |
| Full Name | Ahsat Counseling And Consulting. Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 13420 Reese Blvd W, Huntersville, North Carolina |
| Authorized Official Name and Position | Latasha Michelle Quailes Ellis (OWNER/ PRESIDENT) |
| Authorized Official Contact | 7049997378 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahsat Counseling And Consulting. Pllc 8340 Rolling Meadows Ln Huntersville NC 28078-3353 Ph: (704) 999-7378 | Ahsat Counseling And Consulting. Pllc 13420 Reese Blvd W Huntersville NC 28078-7925 Ph: (704) 999-7378 |
| NPI Number | 1306144910 |
|---|---|
| Provider Enumeration Date | 03/05/2011 |
| Last Update Date | 03/05/2011 |
| Medicare PECOS PAC ID | 2567618812 |
|---|---|
| Medicare Enrollment ID | O20120802000189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306144910 | NPI | - | NPPES |
| 6106903 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 266 (North Carolina) | Primary |
| Provider Name | Latasha M Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487832671 PECOS PAC ID: 7517012271 Enrollment ID: I20090901000378 |
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