Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY TIMOTHY ELMORE, LCAS-A
Active Sole ProprietorJERRY TIMOTHY ELMORE, LCAS-A is a Community/Behavioral Health healthcare provider located in GASTONIA, North Carolina. NPI 1417386566 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · GASTONIA, NC
Registration Details
- NPI Number
- 1417386566
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 8, 2013 (12.742318697899 yrs)
- Last Updated
- Nov 8, 2013
- License
-
3527A (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2505 COURT DRGASTONIA, NC, 280542140Browse NC providers · Browse ZIP 28054
- Phone
- 7048842060
- Fax
- 7048544860
- Primary Specialty
-
Community/Behavioral Health
251S00000X
- Additional Specialty
- Community/Behavioral Health
Other Community/Behavioral Health Providers in GASTONIA, NC
| Name | Credential | NPI |
|---|---|---|
| DR. OLATOKUNBO EFUNSAMI SOYODE-ETOMI | M.D. | 1326132804 |
| BRANDY NICOLE USSERY | — | 1790092484 |
| MS. RAZHEDATEQUILA EUNICETAGE SANFORD | LCSW LCAS CSI | 1306374160 |
| KIMBERLEY GAYHART | — | 1366016156 |
| SHALIMAR ROSE | — | 1194542159 |
| MS. MEGHAN PARMENTER | — | 1578386082 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.