Organization · NPI-2

828therapeuticservicespllc

Social Worker, Clinical · Charlotte, NC

NPI number1801527460
StatusActive
Last updated in NPPESJun 23, 2022

Details

NPI
1801527460
Entity type
Organization (NPI-2)
Legal business name
828therapeuticservicespllc
Organization subpart
No
Enumeration date
Jun 23, 2022
Certification date
Jun 23, 2022
Last updated
Jun 23, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Other names

  • 828therapeuticservicespllc (Doing Business As)

Practice location

7312 Dulnian Way
Charlotte, NC 28278-7908

Phone 980-613-3794

Mailing address

7312 Dulnian Way
Charlotte, NC 28278-7908

Phone 980-288-8840

Authorized official

Shenequa Collins
Ceo/Clinical Social Worker
9802888840

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