| The Footprints Group, Llc | |
|
4729 Cale Ct Walkertown NC 27051-9516 | |
| (336) 749-6553 | |
| (336) 727-1158 |
| Full Name | The Footprints Group, Llc |
|---|---|
| Speciality | Exclusive Provider Organization |
| Location | 4729 Cale Ct, Walkertown, North Carolina |
| Authorized Official Name and Position | Darlette Drummond (CEO) |
| Authorized Official Contact | 3367496553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Footprints Group, Llc Po Box 100 Walkertown NC 27051-0100 Ph: (336) 749-6553 | The Footprints Group, Llc 4729 Cale Ct Walkertown NC 27051-9516 Ph: (336) 749-6553 |
| NPI Number | 1205161999 |
|---|---|
| Provider Enumeration Date | 10/13/2009 |
| Last Update Date | 10/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205161999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 302F00000X | Exclusive Provider Organization | (* (Not Available)) | Primary |
Spencer Counseling And Wellness, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5395 Holbein Gate Rd, Walkertown, NC 27051 Phone: 336-825-0980 |