Jodi Province Counseling Services Pllc

LBN: Jodi Province Counseling Services Pllc
Jodi Province Counseling Services Pllc is an health care organization with primary practice located at 1260 College Ave Ste 1 , Wilkesboro NC 28697-2700. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Jodi Province Counseling Services Pllc can be contacted via phone (336) 818-0733, or through Province, Jodi Tilley via phone (336) 818-0733.

Contact Information

Primary practice address
1260 College Ave Ste 1 Wilkesboro NC 28697-2700
Phone: (336) 818-0733
Fax: (336) 818-0734
Website:
Map and Directions
Authorized official contact:
Name: Province, Jodi Tilley MA, LPC, NCC
Phone: (336) 818-0733

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 5534 North Carolina
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1194050435
LBN Legal business name Jodi Province Counseling Services Pllc
DBA Doing business as
Authorized official Province, Jodi Tilley MA, LPC, NCC
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2009
Last updated Jul 17th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194050435 NPPES
North Carolina MEDICAID 6105186
North Carolina MEDICAID 6112147
North Carolina Other 144VW
North Carolina MEDICAID 6106369
North Carolina MEDICAID 6107594
North Carolina MEDICAID 6112237
North Carolina MEDICAID 6103333
North Carolina MEDICAID 6102745
North Carolina MEDICAID 6103527

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