Ray, Teresa Childres

Ray, Teresa Childres is an individual health care provider with primary practice located at 258 E Garrison Blvd , Gastonia NC 28054-0460. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ray, Teresa Childres can be contacted via phone (704) 861-8405.

Contact Information

Primary practice address
258 E Garrison Blvd Gastonia NC 28054-0460
Phone: (704) 861-8405
Fax: (704) 865-0590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2295 North Carolina

Profile Details

NPI number 1215914742
LBN Legal business name Ray, Teresa Childres
Credentials MA, NCC, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215914742 NPPES
North Carolina Other B4131 MEDCOST.DOC ID #
North Carolina MEDICAID 6005064 MEDCOST.DOC ID #
North Carolina Other 0258G MEDCOST.DOC ID #
North Carolina Other 1039E MEDCOST.DOC ID #
North Carolina MEDICAID 6102251 MEDCOST.DOC ID #
North Carolina Other 7433388 MEDCOST.DOC ID #
North Carolina Other 7361114 MEDCOST.DOC ID #

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