Organization
RECLAIMED I.D. COUNSELING AND CONSULTATION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY WEST LCMHC (OWNER)
(336) 804-2243
Entity
Organization
Contact information
Practice address
2938 EBB SHORE DR, ARCHDALE, NC 27263-8910
(336) 804-2243
Mailing address
2938 EBB SHORE DR, ARCHDALE, NC 27263-8910
(336) 804-2243
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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