Individual
AMIA BRISCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCS
Contact information
Practice address
213 PATTON DR STE A, SHELBY, NC 28150-4696
(704) 466-3022
(844) 272-6196
Mailing address
213 PATTON DR STE A, SHELBY, NC 28150-4696
(191) 993-1238
(844) 272-6196
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9869
NC
101YM0800X
Mental Health Counselor
A9869
NC
101YM0800X
Mental Health Counselor
S9869
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255753281
—
NC
Enumeration date
01/10/2014
Last updated
04/14/2021
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