| Piedmont Counseling And Development | |
|
4917 Piedmont Pkwy Ste 103d Jamestown NC 27282-7536 | |
| (336) 442-5458 | |
| Not Available |
| Full Name | Piedmont Counseling And Development |
|---|---|
| Speciality | Clinic/Center |
| Location | 4917 Piedmont Pkwy Ste 103d, Jamestown, North Carolina |
| Authorized Official Name and Position | Monique Crutchfield (THERAPIST) |
| Authorized Official Contact | 3364425458 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Piedmont Counseling And Development 4917 Piedmont Pkwy Ste 103d Jamestown NC 27282-7536 Ph: (336) 442-5458 | Piedmont Counseling And Development 4917 Piedmont Pkwy Ste 103d Jamestown NC 27282-7536 Ph: (336) 442-5458 |
| NPI Number | 1548770480 |
|---|---|
| Provider Enumeration Date | 10/05/2017 |
| Last Update Date | 12/18/2017 |
| Medicare PECOS PAC ID | 9133487499 |
|---|---|
| Medicare Enrollment ID | O20171215000135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548770480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | C006190 (North Carolina) | Primary |
| Provider Name | Monique T Crutchfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487975595 PECOS PAC ID: 4082877832 Enrollment ID: I20120515000564 |
| Provider Name | Sheneika Alford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932580073 PECOS PAC ID: 6800200296 Enrollment ID: I20210126001895 |
| Provider Name | Sophire Marie Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992278519 PECOS PAC ID: 6002334331 Enrollment ID: I20250520001076 |
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