Organization
TOTAL REACCH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA KELLY (CEO)
(336) 963-3093
Entity
Organization
Contact information
Practice address
831 E PRITCHARD ST, ASHEBORO, NC 27203-4807
(336) 963-3093
Mailing address
417 BROOKVIEW CIR, RAMSEUR, NC 27316-9514
(336) 963-3093
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
03/24/2021
Last updated
12/04/2022
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