| Cbt Center For Balanced Living, Pllc | |
|
136 Mussell Ln Mooresville NC 28117-3707 | |
| (704) 230-7998 | |
| Not Available |
| Full Name | Cbt Center For Balanced Living, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 136 Mussell Ln, Mooresville, North Carolina |
| Authorized Official Name and Position | Lisa Polk (OWNER) |
| Authorized Official Contact | 7047294228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cbt Center For Balanced Living, Pllc 132 Joe Knox Ave Mooresville NC 28117-9202 Ph: (704) 729-4228 | Cbt Center For Balanced Living, Pllc 136 Mussell Ln Mooresville NC 28117-3707 Ph: (704) 230-7998 |
| NPI Number | 1952648107 |
|---|---|
| Provider Enumeration Date | 01/08/2013 |
| Last Update Date | 01/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952648107 | NPI | - | NPPES |
| 6007471 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C005872 (North Carolina) | Primary |
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