| 828therapeuticservicespllc | |
|
7312 Dulnian Way Charlotte NC 28278-7908 | |
| (980) 613-3794 | |
| Not Available |
| Full Name | 828therapeuticservicespllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7312 Dulnian Way, Charlotte, North Carolina |
| Authorized Official Name and Position | Shenequa Collins (CEO/CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9802888840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 828therapeuticservicespllc 7312 Dulnian Way Charlotte NC 28278-7908 Ph: (980) 288-8840 | 828therapeuticservicespllc 7312 Dulnian Way Charlotte NC 28278-7908 Ph: (980) 613-3794 |
| NPI Number | 1801527460 |
|---|---|
| Provider Enumeration Date | 06/23/2022 |
| Last Update Date | 06/23/2022 |
| Certification Date | 06/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801527460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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