Joseph Hodge
Individual provider Active NPI Counselor · Fay, NC
NPI 1245433085 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1245433085
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 2300 Ramsey St
Mental Health Service Line
Fay, NC 28301 - Phone
- (910) 482-5194
- NPI assigned
- Jun 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
2300 Ramsey St
Mental Health Service Line
Fay, NC 28301
Mailing address
3944 Watling CT
Fayetteville, NC 28311-6911
Phone (910) 480-9112
Other providers in Fay, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.