| Solid Foundations Counseling Center | |
|
737 E Main St Spindale NC 28160-1938 | |
| (704) 466-0162 | |
| Not Available |
| Full Name | Solid Foundations Counseling Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 737 E Main St, Spindale, North Carolina |
| Authorized Official Name and Position | Bobby Fisher (OWNER) |
| Authorized Official Contact | 7044660162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Solid Foundations Counseling Center 737 E Main St Spindale NC 28160-1938 Ph: (704) 466-0162 | Solid Foundations Counseling Center 737 E Main St Spindale NC 28160-1938 Ph: (704) 466-0162 |
| NPI Number | 1396297545 |
|---|---|
| Provider Enumeration Date | 11/03/2016 |
| Last Update Date | 07/03/2020 |
| Certification Date | 07/03/2020 |
| Medicare PECOS PAC ID | 5597185157 |
|---|---|
| Medicare Enrollment ID | O20201020002272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396297545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 7512S (North Carolina) | Primary |
| Provider Name | Christian D Glover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285128264 PECOS PAC ID: 0547510596 Enrollment ID: I20180912001999 |
| Provider Name | Joe Douglas Revis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174174601 PECOS PAC ID: 7517390818 Enrollment ID: I20191126003233 |
| Provider Name | Hannah Leary Poe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063752095 PECOS PAC ID: 2062849839 Enrollment ID: I20200218000748 |
| Provider Name | Sarah L Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841710225 PECOS PAC ID: 3779982111 Enrollment ID: I20220224000319 |
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Solid Foundations Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 737 E Main St, Spindale, NC 28160 Phone: 704-466-0162 Fax: 828-286-9512 | |
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