Organization
ALL STARS TODAY (AST) LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM ALICE TOWNSEND (DIRECTOR)
(267) 639-7748
Entity
Organization
Contact information
Practice address
1958 WILROSE PL, MATTHEWS, NC 28105-0366
(267) 639-7748
Mailing address
1958 WILROSE PL, MATTHEWS, NC 28105-0366
(267) 639-7748
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YS0200X
School Counselor
—
—
102X00000X
Poetry Therapist
—
—
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TE1100X
Exercise & Sports Psychologist
—
—
1041S0200X
School Social Worker
—
—
174H00000X
Health Educator
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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