Basic Information
Provider Information
NPI: 1912548173
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BATCHELOR
FirstName: WILLIAM
MiddleName: DAVID NEUFER
NamePrefix:  
NameSuffix:  
Credential: MS, LPCA, NCC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 284 EXECUTIVE PARK DR STE 100
Address2:  
City: CONCORD
State: NC
PostalCode: 280251833
CountryCode: US
TelephoneNumber: 7049391100
FaxNumber: 7049391173
Practice Location
Address1: 110 W WALKER AVE
Address2:  
City: ASHEBORO
State: NC
PostalCode: 272036760
CountryCode: US
TelephoneNumber: 3366337000
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/30/2019
LastUpdateDate: 09/30/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500XA14793NCY Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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