Tim S. Vandergast is a Counselor in Concord, North Carolina. Tim S. Vandergast practices all healthcare services and medical treatments related to Counselor. The NPI Number for Tim S. Vandergast is 1700087756. The last update date is 2007-07-08.
Tim S. Vandergast's current location address is 952 Copperfield Blvd Ne, Concord, North Carolina. You can contact this provider via phone number 7047867709. The mailing address for Tim S. Vandergast is 952 Copperfield Blvd Ne, Concord, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tim S. Vandergast |
|---|---|
| Address | 952 Copperfield Blvd Ne, Concord, North Carolina |
| Phone Number | 7047867709 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MA, NCC |
NPI Number Detail
| NPI Number | 1700087756 |
|---|---|
| Provider Enumeration Date | 2007-05-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 952 Copperfield Blvd Ne |
|---|---|
| City | Concord |
| State | North Carolina (NC) |
| Post Code | 280252433 |
| Phone Number | 7047867709 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 45941 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Tim S. Vandergast by the Centers for Medicare & Medicaid Services?
The Tim S. Vandergast has been issued the NPI (National Provider Identifier) 1700087756 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Tim S. Vandergast?
The Tim S. Vandergast is physically situated at 952 Copperfield Blvd Ne, in the city of Concord, state of NC, with the postal code 280252433.
What is Tim S. Vandergast's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tim S. Vandergast is Counselor, and the corresponding taxonomy classification code for this specialized field is 101Y00000X.
When was the Tim S. Vandergast's 1700087756 issued?
The Tim S. Vandergast's 1700087756 was issued on 2007-05-29.
When was the information related to Tim S. Vandergast most recently updated or refreshed?
The details pertaining to the Tim S. Vandergast, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC