Organization · NPI-2

3c Wellness, PLLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Charlotte, NC

NPI number1477173201
StatusActive
Last updated in NPPESApr 22, 2020

Details

NPI
1477173201
Entity type
Organization (NPI-2)
Legal business name
3c Wellness, PLLC
Organization subpart
No
Enumeration date
Apr 22, 2020
Certification date
Apr 22, 2020
Last updated
Apr 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
261QM0850X Clinic/Center, Adult Mental Health––
261QM0855X Clinic/Center, Adolescent and Children Mental Health––
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder––

Practice location

9711 David Taylor Dr
Charlotte, NC 28262-2366

Phone 704-565-9578

Mailing address

11752 Prideland Ct
Charlotte, NC 28273-4612

Phone 704-713-9600

Authorized official

Ashley Shaw
Owner / Therapist
7047139600

Is something wrong?

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