Provider Demographics
NPI:1811410855
Name:HOSFORD & WELSH, LLC
Entity Type:Organization
Organization Name:HOSFORD & WELSH, LLC
Other - Org Name:HOSFORD & WELSH SERVICES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOSFORD
Authorized Official - Suffix:
Authorized Official - Credentials:LPCA
Authorized Official - Phone:980-689-2682
Mailing Address - Street 1:17105 KENTON DR STE 201C
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-5654
Mailing Address - Country:US
Mailing Address - Phone:704-340-6722
Mailing Address - Fax:
Practice Address - Street 1:17105 KENTON DR STE 201C
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-5654
Practice Address - Country:US
Practice Address - Phone:704-340-6722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA10410101YP2500X
NC4322101YP2500X
NC4981103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1386794790Medicaid
NC12697952Medicaid
NC1699101170Medicaid