TERESA CHILDRES RAY MA NCC LPC NPI 1215914742

NPI Information

NPI: 1215914742
Provider Name: TERESA CHILDRES RAY, MA, NCC, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
258 E GARRISON BLVD
GASTONIA, NC
ZIP 28054
Phone: (704) 861-8405
Get Directions

Teresa Childres Ray, MA, NCC, LPC is a professional counselor in Gastonia, NC. Teresa Childres Ray, MA, NCC, LPC NPI is 1215914742. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

258 E GARRISON BLVD
GASTONIA, NC
ZIP 28054-460
Phone: (704) 861-8405
Fax: (704) 865-0590

The enumeration date for this NPI number is 12/27/2005 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	2295	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6102251	MEDICAID	NORTH CAROLINA
2	1039E	OTHER	NORTH CAROLINA	BCBS PROVIDER PIN
3	B4131	OTHER	NORTH CAROLINA	MEDCOST.DOC ID #
4	0258G	OTHER	NORTH CAROLINA	BCBS GROUP PIN
5	7361114	OTHER	NORTH CAROLINA	AETNA BEH.HEALTH PIN
6	6005064	MEDICAID	NORTH CAROLINA
7	7433388	OTHER	NORTH CAROLINA	AETNAGROUPBEHPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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