Provider Demographics
NPI:1932433893
Name:MCWILLIAMS CENTER FOR COUNSELING
Entity Type:Organization
Organization Name:MCWILLIAMS CENTER FOR COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:TANESHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKINSTRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-686-7001
Mailing Address - Street 1:936 N MARIETTA ST
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-7301
Mailing Address - Country:US
Mailing Address - Phone:704-686-7001
Mailing Address - Fax:704-852-4401
Practice Address - Street 1:936 N MARIETTA ST
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-7301
Practice Address - Country:US
Practice Address - Phone:704-686-7001
Practice Address - Fax:704-852-4401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-25
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty