Organization
CAROLINA CENTER FOR COUNSELING & CLINICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNN HAMMONTREE BA (FINANCE DIRECTOR)
(704) 861-2234
Entity
Organization
Contact information
Practice address
227 WILMOT DR, GASTONIA, NC 28054-4048
(704) 861-2234
(704) 861-2235
Mailing address
PO BOX 550178, GASTONIA, NC 28055-0178
(704) 861-2234
(704) 861-2235
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005311
—
NC
05
—
6102411
—
NC
05
—
6103191
—
NC
05
—
6104029
—
NC
05
—
6104153
—
NC
05
—
6115044
—
NC
05
—
8300211
—
NC
05
—
8300211S
—
NC
Enumeration date
11/01/2006
Last updated
10/28/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us