| Mountain Ridge Counseling Pllc | |
|
1992 Mountain Park Rd State Road NC 28676-9594 | |
| (336) 569-4340 | |
| Not Available |
| Full Name | Mountain Ridge Counseling Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1992 Mountain Park Rd, State Road, North Carolina |
| Authorized Official Name and Position | Melissa Casstevens (OWNER/PROVIDER/AUTHORIZED REP) |
| Authorized Official Contact | 3364667268 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Ridge Counseling Pllc Po Box 114 State Road NC 28676-0114 Ph: (336) 569-4340 | Mountain Ridge Counseling Pllc 1992 Mountain Park Rd State Road NC 28676-9594 Ph: (336) 569-4340 |
| NPI Number | 1073487708 |
|---|---|
| Provider Enumeration Date | 10/04/2025 |
| Last Update Date | 10/04/2025 |
| Certification Date | 10/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073487708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Jodi Province Counseling Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2587 Pleasant Ridge Rd, State Road, NC 28676 Phone: 336-818-0733 |