| Blue Sage Counseling And Wellness, Pllc | |
|
5200 Park Rd Ste 229 Charlotte NC 28209-3651 | |
| (704) 778-6141 | |
| Not Available |
| Full Name | Blue Sage Counseling And Wellness, Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 5200 Park Rd Ste 229, Charlotte, North Carolina |
| Authorized Official Name and Position | Ashley Francis (LICENSED MARRIAGE AND FAMILY THERAP) |
| Authorized Official Contact | 7047786141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Sage Counseling And Wellness, Pllc 5200 Park Rd Ste 229 Charlotte NC 28209-3651 Ph: (704) 778-6141 | Blue Sage Counseling And Wellness, Pllc 5200 Park Rd Ste 229 Charlotte NC 28209-3651 Ph: (704) 778-6141 |
| NPI Number | 1306359153 |
|---|---|
| Provider Enumeration Date | 11/14/2017 |
| Last Update Date | 11/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306359153 | NPI | - | NPPES |
| 1316324940 | Medicaid | NC | |
| 15183204601 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | A10010 (North Carolina) | Secondary |
| 106H00000X | Marriage & Family Therapist | 1663 (North Carolina) | Primary |
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