Organization Name: | BENFIELD & PODGER ASSOCS., LTD |
NPI Number: | 1346290517 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRYSTAL PODGER (ADMINISTRATIVE DIRECTOR) |
Mailing Address: | 3314 16th Ave Se Ste. 206 Conover |
State: | NC US |
Postal Code: | 286139694 |
Phone Number: | 7043253181 |
Fax Number: | 7043253182 |
NPI Enumeration Date: | 05/10/2006 |
NPI Last Update Date: | 05/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2892 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |