| Charlotte Therapy Center | |
|
1136 Sam Newell Rd Ste B4 Matthews NC 28105-5063 | |
| (704) 900-2904 | |
| Not Available |
| Full Name | Charlotte Therapy Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1136 Sam Newell Rd Ste B4, Matthews, North Carolina |
| Authorized Official Name and Position | Joseph Edward Nissen (OWNER/THERAPIST) |
| Authorized Official Contact | 7049002904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charlotte Therapy Center 11433 Baystone Pl Concord NC 28025-9107 Ph: () - | Charlotte Therapy Center 1136 Sam Newell Rd Ste B4 Matthews NC 28105-5063 Ph: (704) 900-2904 |
| NPI Number | 1609390046 |
|---|---|
| Provider Enumeration Date | 07/27/2017 |
| Last Update Date | 08/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609390046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | C (North Carolina) | Primary |
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