| Inner Shalom, Pllc | |
|
1230 Meadow Creek Church Rd Locust NC 28097-8525 | |
| (252) 325-4131 | |
| Not Available |
| Full Name | Inner Shalom, Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1230 Meadow Creek Church Rd, Locust, North Carolina |
| Authorized Official Name and Position | Victoria Mata (OWNER, SOLE MEMBER/MANAGER) |
| Authorized Official Contact | 2523254131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Shalom, Pllc 1230 Meadow Creek Church Rd Locust NC 28097-8525 Ph: (252) 325-4131 | Inner Shalom, Pllc 1230 Meadow Creek Church Rd Locust NC 28097-8525 Ph: (252) 325-4131 |
| NPI Number | 1922863513 |
|---|---|
| Provider Enumeration Date | 02/14/2024 |
| Last Update Date | 02/14/2024 |
| Certification Date | 02/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922863513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Clinical And Consulting Solutions Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 243a Town Centre Dr, Locust, NC 28097 Phone: 704-433-8064 Fax: 704-781-0635 |