| Dna Therapy And Creative Solutions | |
|
101 N Tryon Street Suite 112-#5647 Charlotte NC 28246 | |
| (704) 936-7365 | |
| Not Available |
| Full Name | Dna Therapy And Creative Solutions |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 N Tryon Street, Charlotte, North Carolina |
| Authorized Official Name and Position | Nicole Monique Atkinson (OWNER) |
| Authorized Official Contact | 7049367365 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dna Therapy And Creative Solutions 6912 Park Place Dr Charlotte NC 28262-4260 Ph: (704) 936-7365 | Dna Therapy And Creative Solutions 101 N Tryon Street Suite 112-#5647 Charlotte NC 28246 Ph: (704) 936-7365 |
| NPI Number | 1265190706 |
|---|---|
| Provider Enumeration Date | 12/01/2021 |
| Last Update Date | 12/01/2021 |
| Certification Date | 11/30/2021 |
| Medicare PECOS PAC ID | 2668845777 |
|---|---|
| Medicare Enrollment ID | O20230309002815 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265190706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Nicole Atkinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649684044 PECOS PAC ID: 6002240587 Enrollment ID: I20191217001841 |
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