Organization
JODI PROVINCE COUNSELING SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JODI TILLEY PROVINCE MA, LPC, NCC (ORGANIZER/MEMBER)
(336) 818-0733
Entity
Organization
Contact information
Practice address
1260 COLLEGE AVE STE 1, WILKESBORO, NC 28697-2700
(336) 818-0733
(336) 818-0734
Mailing address
1260 COLLEGE AVE STE 1, WILKESBORO, NC 28697-2700
(336) 818-0733
(336) 818-0734
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
5534
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144VW
BCBSNC
NC
05
—
6102745
—
NC
05
—
6103333
—
NC
05
—
6103527
—
NC
05
—
6105186
—
NC
05
—
6106369
—
NC
05
—
6107594
—
NC
05
—
6112147
—
NC
05
—
6112237
—
NC
Enumeration date
10/05/2009
Last updated
08/13/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us