Provider Demographics
NPI:1326194515
Name:BERARD AUDITORY INTEGRATION TRAINING SYSTEMS, INC.
Entity Type:Organization
Organization Name:BERARD AUDITORY INTEGRATION TRAINING SYSTEMS, INC.
Other - Org Name:THE COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR AND PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:E
Authorized Official - Last Name:GEWANTER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:828-683-6900
Mailing Address - Street 1:690 BOYD RD
Mailing Address - Street 2:
Mailing Address - City:LEICESTER
Mailing Address - State:NC
Mailing Address - Zip Code:28748-9208
Mailing Address - Country:US
Mailing Address - Phone:828-683-8900
Mailing Address - Fax:828-683-0303
Practice Address - Street 1:690 BOYD RD
Practice Address - Street 2:
Practice Address - City:LEICESTER
Practice Address - State:NC
Practice Address - Zip Code:28748-9208
Practice Address - Country:US
Practice Address - Phone:828-683-8900
Practice Address - Fax:828-683-0303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-28
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC 0033091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6006379Medicaid
NC131JJOtherBCBS
CT131JJOtherBLUE CROSS CLUE SHIELD
NC131JJOtherBCBS