| Lee Hasty, Lcsw, Pa | |
|
2649 Brekonridge Centre Dr Suite 112 Monroe NC 28110-5631 | |
| (704) 283-2900 | |
| (704) 283-2977 |
| Full Name | Lee Hasty, Lcsw, Pa |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2649 Brekonridge Centre Dr, Monroe, North Carolina |
| Authorized Official Name and Position | Lee Mcnair Hasty (PRESIDENT) |
| Authorized Official Contact | 7042832900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee Hasty, Lcsw, Pa 2649 Brekonridge Centre Dr Suite 112 Monroe NC 28110-5631 Ph: (704) 283-2900 | Lee Hasty, Lcsw, Pa 2649 Brekonridge Centre Dr Suite 112 Monroe NC 28110-5631 Ph: (704) 283-2900 |
| NPI Number | 1437390077 |
|---|---|
| Provider Enumeration Date | 03/11/2009 |
| Last Update Date | 03/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437390077 | NPI | - | NPPES |
| 6002308 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | COOO488 (North Carolina) | Primary |
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