Cauthen Counseling And Consulting, Pllc | |
10130 Mallard Creek Rd Ste 300 Charlotte NC 28262-6001 | |
(704) 850-6479 | |
(704) 603-3011 |
Full Name | Cauthen Counseling And Consulting, Pllc |
---|---|
Speciality | Community/behavioral Health |
Location | 10130 Mallard Creek Rd Ste 300, Charlotte, North Carolina |
Authorized Official Name and Position | Shana N. Cauthen (OWNER) |
Authorized Official Contact | 7044335267 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cauthen Counseling And Consulting, Pllc 10130 Mallard Creek Rd Ste 300 Charlotte NC 28262-6001 Ph: (704) 433-5267 | Cauthen Counseling And Consulting, Pllc 10130 Mallard Creek Rd Ste 300 Charlotte NC 28262-6001 Ph: (704) 850-6479 |
NPI Number | 1144710229 |
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Provider Enumeration Date | 05/15/2018 |
Last Update Date | 05/18/2022 |
Certification Date | 05/18/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144710229 | NPI | - | NPPES |
1326218512 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C005932 (North Carolina) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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