Organization
JILL C EILENBERGER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JILL C EILENBERGER LCSW LMFT (PSYCHOTHERAPIST PRESIDENT OF THE CO)
(704) 522-0291
Entity
Organization
Contact information
Practice address
1515 MOCKINGBIRD LN STE 408, JILL C EILENBERGER PC, CHARLOTTE, NC 28209-3298
(704) 522-0291
(704) 522-0292
Mailing address
PO BOX 11692, JILL C EILENBERGER PC, CHARLOTTE, NC 28220
(704) 522-0291
(704) 522-0292
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C000269
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3025F
BCBS
NC
Enumeration date
06/04/2006
Last updated
07/08/2011
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