| Clear Vista Counseling Pllc | |
|
1218 East Blvd Ste E Charlotte NC 28203-6158 | |
| (704) 912-1074 | |
| Not Available |
| Full Name | Clear Vista Counseling Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1218 East Blvd Ste E, Charlotte, North Carolina |
| Authorized Official Name and Position | Theresa Leskowat (OWNER) |
| Authorized Official Contact | 9182076499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Vista Counseling Pllc 3838 Saxonbury Way Charlotte NC 28269-9437 Ph: () - | Clear Vista Counseling Pllc 1218 East Blvd Ste E Charlotte NC 28203-6158 Ph: (704) 912-1074 |
| NPI Number | 1396368767 |
|---|---|
| Provider Enumeration Date | 05/20/2020 |
| Last Update Date | 05/20/2020 |
| Certification Date | 05/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396368767 | NPI | - | NPPES |
| 1659675304 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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