Basic Information
| Provider Information | |||||||||
| NPI: | 1699065581 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NEW DIRECTIONS CS PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 201 GOVERNMENT AVE SW | ||||||||
| Address2: | SUITE 305 | ||||||||
| City: | HICKORY | ||||||||
| State: | NC | ||||||||
| PostalCode: | 286022954 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8282671740 | ||||||||
| FaxNumber: | 8282671746 | ||||||||
| Practice Location | |||||||||
| Address1: | 132 JOE V. KNOX AVE | ||||||||
| Address2: | SUITE 104 | ||||||||
| City: | MOORESVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 281179203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8282671740 | ||||||||
| FaxNumber: | 8282671746 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/12/2011 | ||||||||
| LastUpdateDate: | 04/21/2011 | ||||||||
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| AuthorizedOfficialLastName: | MEOSKY | ||||||||
| AuthorizedOfficialFirstName: | GARY | ||||||||
| AuthorizedOfficialMiddleName: | EDWIN | ||||||||
| AuthorizedOfficialTitleorPosition: | MANAGING PARTNER | ||||||||
| AuthorizedOfficialTelephone: | 8282671740 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | LCSW | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0808X | 5038 | NC | N | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health | 101YP2500X | 5038 | NC | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.