Organization
DEEPEST NEEDS CHRISTIAN COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH AYALA (PRESIDENT)
(704) 201-1370
Entity
Organization
Contact information
Practice address
1562 UNION RD STE B, GASTONIA, NC 28054-2210
(704) 201-1370
Mailing address
1562 UNION RD STE B, GASTONIA, NC 28054-2210
(704) 201-1370
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255715801
NPI
NC
Enumeration date
02/08/2022
Last updated
02/08/2022
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