Organization
GASTON CLINICAL HEALTH CENTER PLLC
Active
Other names
Gaston Clinical Health Center PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROXANN T THOMAS LCAS (DIRECTOR/OWNER)
(704) 297-6111
Entity
Organization
Contact information
Practice address
305 S COLUMBIA ST, GASTONIA, NC 28054-0451
(704) 297-6111
(704) 565-4299
Mailing address
5457 SPINDLE RIDGE LN, GASTONIA, NC 28056-8515
(704) 297-6111
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
09/12/2023
Last updated
08/18/2024
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