| Metrolina Psychotherapy Associates P.a. | |
|
1212 Spruce St. Suite 315 Belmont NC 28012 | |
| (704) 461-8253 | |
| (704) 461-8267 |
| Full Name | Metrolina Psychotherapy Associates P.a. |
|---|---|
| Speciality | Social Worker |
| Location | 1212 Spruce St., Belmont, North Carolina |
| Authorized Official Name and Position | Christopher Anthony Gazdik (PRESIDENT) |
| Authorized Official Contact | 7044618253 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metrolina Psychotherapy Associates P.a. 1212 Spruce St. Suite 315 Belmont NC 28012 Ph: (704) 461-8253 | Metrolina Psychotherapy Associates P.a. 1212 Spruce St. Suite 315 Belmont NC 28012 Ph: (704) 461-8253 |
| NPI Number | 1376866079 |
|---|---|
| Provider Enumeration Date | 03/09/2010 |
| Last Update Date | 07/22/2014 |
| Medicare PECOS PAC ID | 7113042326 |
|---|---|
| Medicare Enrollment ID | O20100910001094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376866079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Christopher A Gazdik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558309179 PECOS PAC ID: 2668377912 Enrollment ID: I20040120000261 |
| Provider Name | Barbara L Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376587931 PECOS PAC ID: 8729023940 Enrollment ID: I20050628000086 |
| Provider Name | Allison M Tucker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477751337 PECOS PAC ID: 4486796430 Enrollment ID: I20100128000720 |
| Provider Name | Russell B Snipes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396011938 PECOS PAC ID: 5193026250 Enrollment ID: I20151214001963 |
| Provider Name | Cyrilla Elizabeth Purnell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962070060 PECOS PAC ID: 1254718984 Enrollment ID: I20220518000208 |
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