Organization · NPI-2
A Place For Peace, PLLC
Social Worker, Clinical · Charlotte, NC
NPI number1760018402
StatusActive
Last updated in NPPESMar 13, 2020
Details
- NPI
- 1760018402
- Entity type
- Organization (NPI-2)
- Legal business name
- A Place For Peace, PLLC
- Organization subpart
- No
- Enumeration date
- Mar 13, 2020
- Certification date
- Mar 13, 2020
- Last updated
- Mar 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
2015 Ayrsley Town Blvd Ste 202Charlotte, NC 28273-4068
Phone 704-659-3801
Mailing address
7234 Wingstone LnCharlotte, NC 28262-4239
Authorized official
Yolanda Bartow
Psychotherapist
7046593801
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