| Charlotte Counseling And Wellness Center, Pllc | |
|
1811 Sardis Rd N Ste 207 Charlotte NC 28270-3000 | |
| (757) 285-0565 | |
| (704) 256-4893 |
| Full Name | Charlotte Counseling And Wellness Center, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1811 Sardis Rd N Ste 207, Charlotte, North Carolina |
| Authorized Official Name and Position | Diana A Moser-burg (SOLE PROPRIETOR) |
| Authorized Official Contact | 7042564893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charlotte Counseling And Wellness Center, Pllc 1211 Applegate Pkwy Waxhaw NC 28173-6726 Ph: (704) 256-4893 | Charlotte Counseling And Wellness Center, Pllc 1811 Sardis Rd N Ste 207 Charlotte NC 28270-3000 Ph: (757) 285-0565 |
| NPI Number | 1598083230 |
|---|---|
| Provider Enumeration Date | 05/05/2010 |
| Last Update Date | 05/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598083230 | NPI | - | NPPES |
| 6104058 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 7193 (North Carolina) | Primary |
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