Individual
MS. BETSY CLAYTON SERVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
119 W DEPOT ST, MOCKSVILLE, NC 27028-2327
(336) 751-5636
(336) 751-5696
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10068
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336876054
UBH/OPTUM
NC
05
—
1336876054
—
NC
01
—
186CV
BCBS
NC
01
—
601111-248
MAGELLAN
NC
Enumeration date
08/29/2013
Last updated
07/21/2022
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