| Chancellor's Place Pllc | |
|
9814 Holly Park Dr Charlotte NC 28214-1041 | |
| (704) 649-1080 | |
| Not Available |
| Full Name | Chancellor's Place Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 9814 Holly Park Dr, Charlotte, North Carolina |
| Authorized Official Name and Position | Oriaku Hampton-sowell (OWNER) |
| Authorized Official Contact | 7046491080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chancellor's Place Pllc Po Box 680965 Charlotte NC 28216-0017 Ph: () - | Chancellor's Place Pllc 9814 Holly Park Dr Charlotte NC 28214-1041 Ph: (704) 649-1080 |
| NPI Number | 1306147293 |
|---|---|
| Provider Enumeration Date | 11/08/2010 |
| Last Update Date | 11/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306147293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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