Organization · NPI-2

Acorn Counseling And Play Therapy, PLLC

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

NPI number1538865746
StatusActive
Last updated in NPPESMar 6, 2023

Details

NPI
1538865746
Entity type
Organization (NPI-2)
Legal business name
Acorn Counseling And Play Therapy, PLLC
Organization subpart
No
Enumeration date
Jan 31, 2023
Certification date
Mar 6, 2023
Last updated
Mar 6, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

2120 Crown Centre Dr Ste 400
Charlotte, NC 28227-7812

Phone 336-455-3255

Mailing address

2906 Walsingham Ct
Matthews, NC 28105-7573

Phone 336-455-3255

Authorized official

Jessie Nealen
Owner, Therapist
3364553255

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