Organization
ACCESS BEHAVIORAL HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS D WALKER LCSW (CLINICAL DIRECTOR)
(704) 862-0081
Entity
Organization
Contact information
Practice address
302 S CHURCH ST, GASTONIA, NC 28054-4506
(704) 862-0081
(704) 862-9990
Mailing address
302 S CHURCH ST, GASTONIA, NC 28054-4506
(704) 862-0081
(704) 862-9990
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C002758
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005942
—
NC
Enumeration date
11/18/2006
Last updated
08/22/2020
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