Organization
CLEVELAND COUNSELING, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYDIA PERRIN SCRUGGS LCSW (PRESIDENT)
(704) 481-8626
Entity
Organization
Contact information
Practice address
927 S LAFAYETTE ST, SHELBY, NC 28152-5851
(704) 481-8626
(704) 481-8507
Mailing address
PO BOX 2465, SHELBY, NC 28151-2465
(704) 482-8626
(704) 481-8507
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004380
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06GJ
BCBS GROUP NUMBER
NC
05
—
6005220
—
NC
Enumeration date
05/27/2006
Last updated
08/22/2020
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