TONTAELECSA COLONNA
NPI 1205585486
Counselor - Addiction (Substance Use Disorder) in Southern Pines, NC
Active since March 23, 2022
About Tontaelecsa Colonna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TONTAELECSA COLONNA (NPI 1205585486) is an individual addiction (substance use disorder) provider in Southern Pines, North Carolina, licensed in North Carolina (28148) and active in the NPI registry since March 2022.
NPPES Registry Identity
NPI1205585486
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTONTAELECSA COLONNA
Location Address650 SW BROAD STSouthern Pines, NC 28387-5911
Mailing Address155 Perhealth DrAberdeen, NC 28315-5493 · (910) 315-7415
Phone(910) 725-0211
Fax(910) 725-0301
Sole ProprietorNo
Enumeration DateMarch 23, 2022
Last NPPES UpdateApril 19, 2023
NPPES CertifiedApril 19, 2023
✔ NPI 1205585486 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NC · 28148
650 SW BROAD ST, Southern Pines, NC 28387
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205585486, enumerated as an "individual" on March 23, 2022.
The provider is located at 650 SW BROAD ST SOUTHERN PINES, NC 28387 and the phone number is (910) 725-0211.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
