| Collaborative Counseling Services | |
|
10130 Mallard Creek Road Ste 300, # 333 Charlotte NC 28262 | |
| (704) 944-3511 | |
| Not Available |
| Full Name | Collaborative Counseling Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10130 Mallard Creek Road, Charlotte, North Carolina |
| Authorized Official Name and Position | Laura I Anthony (CEO) |
| Authorized Official Contact | 7275949016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collaborative Counseling Services 10130 Mallard Creek Rd Ste 300 Charlotte NC 28262-6001 Ph: (704) 944-3511 | Collaborative Counseling Services 10130 Mallard Creek Road Ste 300, # 333 Charlotte NC 28262 Ph: (704) 944-3511 |
| NPI Number | 1922605385 |
|---|---|
| Provider Enumeration Date | 10/07/2020 |
| Last Update Date | 03/21/2024 |
| Certification Date | 03/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922605385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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