Bostic Counseling & Consulting

Organization Active NPI Clinical Social Worker · Rockingham, NC

NPI 1104372424 · NPPES record last updated Aug 28, 2016

Key facts

NPI
1104372424
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
License
C010090 (NC)
Legal business name
BOSTIC COUNSELING & CONSULTING
Practice address
801 E Broad Ave
Suite 18
Rockingham, NC 28379-4382
Phone
(585) 967-8396
NPI assigned
Aug 28, 2016
Organization subpart
No

Authorized official

Name
Tavares Bostic, LCSW
Title
Owner
Phone
(585) 967-8396

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

801 E Broad Ave
Ste 18
Rockingham, NC 28379
Phone (585) 967-8396

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X C010090 NC Yes

Addresses

Primary practice location

801 E Broad Ave
Suite 18
Rockingham, NC 28379-4382

Mailing address

207 Carolyns Mill PL
Rockingham, NC 28379-7986
Phone (585) 967-8396

Other providers in Rockingham, NC

All providers in Rockingham, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.