| Reclaimed I.d. Counseling And Consultation, Pllc | |
|
2938 Ebb Shore Dr Archdale NC 27263-8910 | |
| (336) 804-2243 | |
| Not Available |
| Full Name | Reclaimed I.d. Counseling And Consultation, Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2938 Ebb Shore Dr, Archdale, North Carolina |
| Authorized Official Name and Position | Casey West (OWNER) |
| Authorized Official Contact | 3368042243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reclaimed I.d. Counseling And Consultation, Pllc 2938 Ebb Shore Dr Archdale NC 27263-8910 Ph: (336) 804-2243 | Reclaimed I.d. Counseling And Consultation, Pllc 2938 Ebb Shore Dr Archdale NC 27263-8910 Ph: (336) 804-2243 |
| NPI Number | 1750156691 |
|---|---|
| Provider Enumeration Date | 11/21/2023 |
| Last Update Date | 11/21/2023 |
| Certification Date | 11/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750156691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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