Jodi Province Counseling Services Pllc
LBN: Jodi Province Counseling Services Pllc
Jodi Province Counseling Services Pllc is an health care organization with primary practice located at 1260 College Ave Ste 1 , Wilkesboro NC 28697-2700. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty.
Jodi Province Counseling Services Pllc can be contacted via phone (336) 818-0733, or through Province, Jodi Tilley via phone (336) 818-0733.
Contact Information
Primary practice address
1260 College Ave Ste 1
Wilkesboro NC 28697-2700
Phone: (336) 818-0733
Fax: (336) 818-0734
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 5534 | North Carolina |
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1194050435 |
|---|---|
| LBN Legal business name | Jodi Province Counseling Services Pllc |
| DBA Doing business as | |
| Authorized official | Province, Jodi Tilley MA, LPC, NCC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 5th, 2009 |
| Last updated | Jul 17th, 2024 - about 5 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194050435 | NPPES |
| North Carolina | MEDICAID | 6105186 | |
| North Carolina | MEDICAID | 6112147 | |
| North Carolina | Other | 144VW | |
| North Carolina | MEDICAID | 6106369 | |
| North Carolina | MEDICAID | 6107594 | |
| North Carolina | MEDICAID | 6112237 | |
| North Carolina | MEDICAID | 6103333 | |
| North Carolina | MEDICAID | 6102745 | |
| North Carolina | MEDICAID | 6103527 |
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