Provider Demographics
NPI:1609890268
Name:ASSOCIATES IN CHRISTIAN COUNSELING
Entity Type:Organization
Organization Name:ASSOCIATES IN CHRISTIAN COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR, OPERATIONS & DEVELOPMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:E
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-896-0065
Mailing Address - Street 1:8025 N POINT BLVD
Mailing Address - Street 2:SUITE 231
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-3262
Mailing Address - Country:US
Mailing Address - Phone:336-896-0065
Mailing Address - Fax:336-896-0710
Practice Address - Street 1:8025 N POINT BLVD
Practice Address - Street 2:SUITE 231
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-3262
Practice Address - Country:US
Practice Address - Phone:336-896-0065
Practice Address - Fax:336-896-0710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND3057103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC016PPOtherBCBS NC GROUP NUMBER
NC2334778Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER