1164556239 NPI number — VON STEEN COUNSELING & CONSULTING, P.C.

Table of content: (NPI 1164556239)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164556239 NPI number — VON STEEN COUNSELING & CONSULTING, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VON STEEN COUNSELING & CONSULTING, P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164556239
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3505 TURNBERRY LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREENSBORO
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27410-8320
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2307 W CONE BLVD
Provider Second Line Business Practice Location Address:
SUITE 140
Provider Business Practice Location Address City Name:
GREENSBORO
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27408-4027
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-545-0530
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
VON STEEN
Authorized Official First Name:
PATRICIA
Authorized Official Middle Name:
LOUISE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
336-664-0800

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  2452 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 12577 . This is a "BCBS OF NC VENDOR ID NO." identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 2104676 . This is a "CIGNA BEH. HEALTH ID" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: A9838 . This is a "MEDCOST PROVIDER ID" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 0007018403 . This is a "AETNA PIN NO." identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




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