| Sojourn Therapy Services Pllc | |
|
423 Saint Andrews Rd Statesville NC 28625-4660 | |
| (980) 349-7058 | |
| Not Available |
| Full Name | Sojourn Therapy Services Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 423 Saint Andrews Rd, Statesville, North Carolina |
| Authorized Official Name and Position | Andie Sloan (ADMIN, OWNER) |
| Authorized Official Contact | 9803497058 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sojourn Therapy Services Pllc 423 Saint Andrews Rd Statesville NC 28625-4660 Ph: (980) 349-7058 | Sojourn Therapy Services Pllc 423 Saint Andrews Rd Statesville NC 28625-4660 Ph: (980) 349-7058 |
| NPI Number | 1548096621 |
|---|---|
| Provider Enumeration Date | 09/13/2024 |
| Last Update Date | 09/13/2024 |
| Certification Date | 09/13/2024 |
| Medicare PECOS PAC ID | 1658812870 |
|---|---|
| Medicare Enrollment ID | O20240916000967 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548096621 | 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 |
| Provider Name | Andie-elizabeth Ruth Sloan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801482955 PECOS PAC ID: 0042751265 Enrollment ID: I20240916001356 |
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