B&G Counseling Services PLLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Charlotte, NC. Organization (NPI-2).
NPI number1164038782
StatusActive
Last updated in NPPESSep 18, 2020
Details
- NPI
- 1164038782
- Entity type
- Organization (NPI-2)
- Legal business name
- B&G Counseling Services PLLC
- Organization subpart
- No
- Enumeration date
- Sep 18, 2020
- Certification date
- Sep 18, 2020
- Last updated
- Sep 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
11220 Elm Ln Ste 200Charlotte, NC 28277-0450
Phone 201-906-1025
Mailing address
424 Esther CtFort Mill, SC 29708-5707
Authorized official
Heather Tidwell
Owner
2019061025
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