| Meridian Support Services LLC | |
|
1880 Concord Ave Ste C Monroe NC 28110-3060 | |
| (910) 207-6421 | |
| Not Available |
| Full Name | Meridian Support Services LLC |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1880 Concord Ave Ste C, Monroe, North Carolina |
| Authorized Official Name and Position | Anthony Suber (DIRECTOR) |
| Authorized Official Contact | 7042894084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridian Support Services LLC 1880 Concord Ave Ste C Monroe NC 28110-3060 Ph: (910) 207-6421 | Meridian Support Services LLC 1880 Concord Ave Ste C Monroe NC 28110-3060 Ph: (910) 207-6421 |
| NPI Number | 1043692809 |
|---|---|
| Provider Enumeration Date | 06/29/2015 |
| Last Update Date | 05/25/2022 |
| Certification Date | 05/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043692809 | NPI | - | NPPES |
| 1043692809 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 101YP2500X | Counselor - Professional | A11668 (North Carolina) | Primary |
| 1041C0700X | Social Worker - Clinical | (NU) | Secondary |
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