Ebb and Flow Therapy Services PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EBB AND FLOW THERAPY SERVICES PLLC

Practice address

325 McGill Ave NW Ste 505
Concord, NC 28027-6199

Phone

(980) 270-1887

Fax

(980) 202-3364

NPI assigned

May 22, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dyana M Bostian, LCSW

Title

Owner

Phone

(980) 270-1887

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1407548274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MCGILL AVE NW STE 505",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280276199",
            "telephone_number": "980-270-1887",
            "fax_number": "980-202-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MCGILL AVE NW STE 505",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280276199",
            "telephone_number": "980-270-1887",
            "fax_number": "980-202-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBB AND FLOW THERAPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "BOSTIAN",
        "authorized_official_first_name": "DYANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-270-1887",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eckerd Corporation

• Clinical Social Worker in Concord, NC
• Providers in Concord, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.