| Christ Centered Community Counseling Pllc | |
|
2225 Freedom Dr Ste 2 Charlotte NC 28208-4035 | |
| (045) 377-7757 | |
| Not Available |
| Full Name | Christ Centered Community Counseling Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2225 Freedom Dr Ste 2, Charlotte, North Carolina |
| Authorized Official Name and Position | Jarris D Bell (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7043016754 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christ Centered Community Counseling Pllc 2225 Freedom Dr Ste 2 Charlotte NC 28208-4035 Ph: (045) 377-7757 | Christ Centered Community Counseling Pllc 2225 Freedom Dr Ste 2 Charlotte NC 28208-4035 Ph: (045) 377-7757 |
| NPI Number | 1699200170 |
|---|---|
| Provider Enumeration Date | 04/21/2017 |
| Last Update Date | 07/03/2023 |
| Certification Date | 07/03/2023 |
| Medicare PECOS PAC ID | 2769722362 |
|---|---|
| Medicare Enrollment ID | O20190319000049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699200170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C0009752 (North Carolina) | Primary |
| Provider Name | Jarris D Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093148553 PECOS PAC ID: 3678813276 Enrollment ID: I20190319000107 |
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