Basic Information
| Provider Information | |||||||||
| NPI: | 1437101326 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BUNCH | ||||||||
| FirstName: | FRENCHIE | ||||||||
| MiddleName: | VALERIE | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MSW, LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4300 SAPPHIRE CT | ||||||||
| Address2: | STE 110 | ||||||||
| City: | GREENVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 278349079 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2528307540 | ||||||||
| FaxNumber: | 2524130932 | ||||||||
| Practice Location | |||||||||
| Address1: | 101 SUTTON DR | ||||||||
| Address2: | |||||||||
| City: | WINDSOR | ||||||||
| State: | NC | ||||||||
| PostalCode: | 279831823 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2527945079 | ||||||||
| FaxNumber: | 2527945610 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/17/2006 | ||||||||
| LastUpdateDate: | 07/31/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | C001861 | NC | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
ID Information
| ID | Type | State | Issuer | Description | 132KC | 01 | NC | BCBS | OTHER | 6002124 | 05 | NC | MEDICAID |