| Colibri Pllc- Centro De Salud Mental | |
|
1515 Mockingbird Ln # 420 Charlotte NC 28209-3236 | |
| (980) 304-3203 | |
| (980) 246-3971 |
| Full Name | Colibri Pllc- Centro De Salud Mental |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1515 Mockingbird Ln # 420, Charlotte, North Carolina |
| Authorized Official Name and Position | Indiana Torres (OWNER) |
| Authorized Official Contact | 9803337422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colibri Pllc- Centro De Salud Mental 3439 Victoria Brook Ln Charlotte NC 28208-4257 Ph: (980) 333-7422 | Colibri Pllc- Centro De Salud Mental 1515 Mockingbird Ln # 420 Charlotte NC 28209-3236 Ph: (980) 304-3203 |
| NPI Number | 1114611696 |
|---|---|
| Provider Enumeration Date | 06/07/2023 |
| Last Update Date | 06/07/2023 |
| Certification Date | 06/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114611696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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