| Create The Pause Pllc | |
|
1923 Academy St Charlotte NC 28205-1720 | |
| (704) 975-4893 | |
| (704) 559-3772 |
| Full Name | Create The Pause Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1923 Academy St, Charlotte, North Carolina |
| Authorized Official Name and Position | Courtney Diliberto (OWNER, THERAPIST) |
| Authorized Official Contact | 8283949276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Create The Pause Pllc 1923 Academy St Charlotte NC 28205-1720 Ph: (704) 975-4893 | Create The Pause Pllc 1923 Academy St Charlotte NC 28205-1720 Ph: (704) 975-4893 |
| NPI Number | 1356916357 |
|---|---|
| Provider Enumeration Date | 05/21/2021 |
| Last Update Date | 05/21/2021 |
| Certification Date | 05/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356916357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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