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Antigone Wilson, LCASA
Community/Behavioral Health Agency in Gastonia, North Carolina
NPI 1730541368

Antigone Wilson is a Community/Behavioral Health Agency based in Gastonia, NC. Antigone Wilson practices in Gastonia, NC and has the professional credentials of LCASA. The NPI Number for Antigone Wilson is 1730541368 and holds a License No. 21258 (North Carolina).

The current practice location address for Antigone Wilson is 2505 Court Dr, Gastonia, NC and can be reached out via phone at 704-884-2060 and via fax at 704-854-4860.

Location: 2505 Court Dr, Gastonia, NC, 28054-2140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730541368
Provider Name
Antigone Wilson
Credential
LCASA
Provider Entity Type
Individual
Gender
Female
Address
2505 Court Dr, Gastonia, NC, 28054-2140
Phone Number
704-884-2060
Fax Number
704-854-4860
Provider Enumeration Date
03/23/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LCASA21258 01 NC NORTH CAROLINA SUBSTANCE ABUSE BOARD
institution
Provider Business Practice Location Address Details
Address
2505 Court Dr
City
Gastonia
State
North Carolina
Zip
28054-2140
Phone Number
704-884-2060
Fax Number
704-854-4860
person
Provider Business Mailing Address Details
Address
2505 Court Dr
City
Gastonia
State
North Carolina
Zip
28054-2140
Phone Number
704-884-2060
Fax Number
704-854-4860
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
LCASA21258 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
21258 (North Carolina)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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