| Mt Airy Therapy & Consulting Services, Pllc | |
|
200 N Main St Mount Airy NC 27030-3810 | |
| (336) 909-0192 | |
| Not Available |
| Full Name | Mt Airy Therapy & Consulting Services, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 200 N Main St, Mount Airy, North Carolina |
| Authorized Official Name and Position | Alan Gregory Bagshaw (OWNER) |
| Authorized Official Contact | 3369090192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt Airy Therapy & Consulting Services, Pllc 1022 N Main St Mount Airy NC 27030-3636 Ph: (336) 909-0192 | Mt Airy Therapy & Consulting Services, Pllc 200 N Main St Mount Airy NC 27030-3810 Ph: (336) 909-0192 |
| NPI Number | 1386424141 |
|---|---|
| Provider Enumeration Date | 09/29/2023 |
| Last Update Date | 10/04/2023 |
| Certification Date | 10/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386424141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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