Provider Demographics
NPI:1780958124
Name:A LOVING HAND COUNSELING SERVICE
Entity type:Organization
Organization Name:A LOVING HAND COUNSELING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:T
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCAS
Authorized Official - Phone:704-252-3619
Mailing Address - Street 1:116 S MAIN ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28115-2373
Mailing Address - Country:US
Mailing Address - Phone:704-252-3619
Mailing Address - Fax:704-660-8018
Practice Address - Street 1:116 S MAIN ST
Practice Address - Street 2:SUITE 106
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28115-2373
Practice Address - Country:US
Practice Address - Phone:704-252-3619
Practice Address - Fax:704-660-8018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-02
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1472101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6008628Medicaid