| Victory Family Counseling | |
|
11 Union St S Ste 206 Concord NC 28025-1004 | |
| (704) 918-9741 | |
| (704) 270-6213 |
| Full Name | Victory Family Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 11 Union St S Ste 206, Concord, North Carolina |
| Authorized Official Name and Position | Sandra Francis Rettis (OWNER / BILINGUAL THERAPIST) |
| Authorized Official Contact | 7049189315 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Victory Family Counseling 11 Union St S Ste 206 Concord NC 28025-1004 Ph: (704) 918-9741 | Victory Family Counseling 11 Union St S Ste 206 Concord NC 28025-1004 Ph: (704) 918-9741 |
| NPI Number | 1063000610 |
|---|---|
| Provider Enumeration Date | 01/08/2021 |
| Last Update Date | 09/29/2021 |
| Certification Date | 09/29/2021 |
| Medicare PECOS PAC ID | 6901211721 |
|---|---|
| Medicare Enrollment ID | O20210209000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063000610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Sandra Francis Rettis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033688429 PECOS PAC ID: 7719392539 Enrollment ID: I20210209000342 |
| Provider Name | Katie Elaine Parenti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932674876 PECOS PAC ID: 3274913868 Enrollment ID: I20220628003714 |
| Provider Name | Shaquila O'shay Renee Brummitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164030433 PECOS PAC ID: 9830559236 Enrollment ID: I20230717003298 |
| Provider Name | Jarytza Avalos Linares |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780344903 PECOS PAC ID: 8325483241 Enrollment ID: I20240301002325 |
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