Tanya Archie

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Monroe, NC

NPI 1346529997 · NPPES record last updated Aug 15, 2011

Key facts

NPI
1346529997
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
2208 W Roosevelt Blvd
Monroe, NC 28110-2762
Phone
(704) 332-9001
Fax
(704) 332-0124
NPI assigned
Aug 15, 2011
Sex
Female
Sole proprietor
No

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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

2208 W Roosevelt Blvd
Monroe, NC 28110-2762

Mailing address

515 Clanton Rd
Charlotte, NC 28217-1309
Phone (704) 332-9001

Other providers in Monroe, NC

All providers in Monroe, NC · Addiction (Substance Use Disorder) Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.