Provider Demographics
NPI:1679849145
Name:CONCEPTIONS COUNSELING
Entity Type:Organization
Organization Name:CONCEPTIONS COUNSELING
Other - Org Name:CONCEPTIONS COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:M
Authorized Official - Last Name:DAIS
Authorized Official - Suffix:
Authorized Official - Credentials:CSAC
Authorized Official - Phone:704-619-7028
Mailing Address - Street 1:326 KINGSPORT DR NE
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-2994
Mailing Address - Country:US
Mailing Address - Phone:704-970-7386
Mailing Address - Fax:
Practice Address - Street 1:700 CHURCH ST N
Practice Address - Street 2:SUITE 70
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-4379
Practice Address - Country:US
Practice Address - Phone:704-970-7386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-28
Last Update Date:2012-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization