| Prosperity Grp Llc | |
|
156 S South St Unit 201-l Gastonia NC 28052-4216 | |
| (704) 620-8492 | |
| Not Available |
| Full Name | Prosperity Grp Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 156 S South St Unit 201-l, Gastonia, North Carolina |
| Authorized Official Name and Position | Shavonda Courts (OWNER, MEMBER, ORGANIZER) |
| Authorized Official Contact | 7046208492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosperity Grp Llc 156 S South St Unit 201-l Gastonia NC 28052-4216 Ph: (704) 620-8492 | Prosperity Grp Llc 156 S South St Unit 201-l Gastonia NC 28052-4216 Ph: (704) 620-8492 |
| NPI Number | 1174316319 |
|---|---|
| Provider Enumeration Date | 05/28/2025 |
| Last Update Date | 06/26/2025 |
| Certification Date | 06/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174316319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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