| Itherapyrx | |
|
115 Atwood St Sparta NC 28675-9299 | |
| (828) 964-8790 | |
| Not Available |
| Full Name | Itherapyrx |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 115 Atwood St, Sparta, North Carolina |
| Authorized Official Name and Position | Carol Kelley Pulley (LICENSED PSYCHOLOGICAL ASSOCIATE) |
| Authorized Official Contact | 8289648790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Itherapyrx Po Box 56 Roaring Gap NC 28668-0056 Ph: (828) 964-8790 | Itherapyrx 115 Atwood St Sparta NC 28675-9299 Ph: (828) 964-8790 |
| NPI Number | 1417387796 |
|---|---|
| Provider Enumeration Date | 11/22/2013 |
| Last Update Date | 11/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417387796 | NPI | - | NPPES |
| 1710167051 | Other | NC | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | 3453 (North Carolina) | Secondary |
| 103TC1900X | Psychologist - Counseling | 3453 (North Carolina) | Primary |
Daymark Recovery Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Hwy 18 South, Sparta, NC 28675 Phone: 336-372-4095 | |
Lawson Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 Willis St, Sparta, NC 28675 Phone: 336-372-6083 Fax: 336-372-6087 | |
New River Service Authority Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Hwy 18 South, Sparta, NC 28675 Phone: 336-372-4095 Fax: 828-262-5687 | |
Daymark Recovery Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Hwy 18 South, Sparta, NC 28640 Phone: 336-372-4095 | |
Lawson Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 393 N Main St, Sparta, NC 28675 Phone: 336-372-6083 | |
Lawson Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 Willis Street, Sparta, NC 28675 Phone: 336-372-6083 Fax: 336-372-6087 |