Provider Demographics
NPI:1013205459
Name:PALMIERI, EMILY TEAGUE (LPC, NCC, MS, EDS)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:TEAGUE
Last Name:PALMIERI
Suffix:
Gender:F
Credentials:LPC, NCC, MS, EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 N CASWELL RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-2442
Mailing Address - Country:US
Mailing Address - Phone:336-269-7070
Mailing Address - Fax:336-269-7070
Practice Address - Street 1:360 N CASWELL RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2442
Practice Address - Country:US
Practice Address - Phone:336-269-7070
Practice Address - Fax:336-269-7070
Is Sole Proprietor?:No
Enumeration Date:2011-07-19
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA8726101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC12234601OtherBCBS