| Hidden Talents Aba Nc Llc | |
|
106 Langtree Village Dr Ste 301 Mooresville NC 28117-7594 | |
| (404) 487-6005 | |
| (678) 831-3005 |
| Full Name | Hidden Talents Aba Nc Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 106 Langtree Village Dr Ste 301, Mooresville, North Carolina |
| Authorized Official Name and Position | Shalom Katz (CEO) |
| Authorized Official Contact | 4048007683 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hidden Talents Aba Nc Llc 3190 Northeast Expy Ne Ste 110 Atlanta GA 30341-5323 Ph: () - | Hidden Talents Aba Nc Llc 106 Langtree Village Dr Ste 301 Mooresville NC 28117-7594 Ph: (404) 487-6005 |
| NPI Number | 1588434104 |
|---|---|
| Provider Enumeration Date | 01/04/2024 |
| Last Update Date | 04/09/2024 |
| Certification Date | 04/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588434104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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