Eastside Counseling Center

LBN: Edwin Reisfeld Phd Pa
Eastside Counseling Center is an health care organization with primary practice located at 15720 John J Delaney Dr Suite 300, Charlotte NC 28277-3430. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Edwin Reisfeld Phd Pa can be contacted via phone (704) 927-5881, or through Reisfeld, Edwin H via phone (704) 927-5881.

Contact Information

Primary practice address
15720 John J Delaney Dr Suite 300 Charlotte NC 28277-3430
Phone: (704) 927-5881
Fax: (704) 944-3201
Website:
Map and Directions
Authorized official contact:
Name: Reisfeld, Edwin H PHD
Phone: (704) 927-5881

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3748 North Carolina

Profile Details

NPI number 1902010804
LBN Legal business name Edwin Reisfeld Phd Pa
DBA Doing business as Eastside Counseling Center
Authorized official Reisfeld, Edwin H PHD
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2007
Last updated Aug 22nd, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902010804 NPPES
North Carolina Other 2826004 MEDICARE PTAN
North Carolina Other 2826004A MEDICARE PTAN

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