| Catholic Charities Diocese Of Charlotee | |
|
1123 S Church St Charlotte NC 28203-4003 | |
| (704) 370-3262 | |
| (704) 370-3377 |
| Full Name | Catholic Charities Diocese Of Charlotee |
|---|---|
| Speciality | Counselor |
| Location | 1123 S Church St, Charlotte, North Carolina |
| Authorized Official Name and Position | Amy H Loesch (BUSINESS OPERATIONS) |
| Authorized Official Contact | 7043703233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities Diocese Of Charlotee 1123 S Church St Charlotte NC 28203-4003 Ph: (704) 370-3262 | Catholic Charities Diocese Of Charlotee 1123 S Church St Charlotte NC 28203-4003 Ph: (704) 370-3262 |
| NPI Number | 1144349630 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 12/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144349630 | NPI | - | NPPES |
| 0253J | Other | NC | BCBS |
| 0253J | Other | NC | BLUECROSS BLUESHIELD |
| 6005378 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (North Carolina) | Primary |
| 101YM0800X | Counselor - Mental Health | (North Carolina) | Secondary |
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