Isaiah Counseling & Wellness Pllc | |
1914 Brunswick Ave Suite 1b Charlotte NC 28207-2808 | |
(704) 910-2055 | |
Not Available |
Full Name | Isaiah Counseling & Wellness Pllc |
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Speciality | Social Worker - Clinical |
Location | 1914 Brunswick Ave, Charlotte, North Carolina |
Authorized Official Name and Position | Shawntal M Isaiah (OWNER) |
Authorized Official Contact | 7049652364 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Isaiah Counseling & Wellness Pllc Po Box 29158 Charlotte NC 28229-9158 Ph: (704) 965-2364 | Isaiah Counseling & Wellness Pllc 1914 Brunswick Ave Suite 1b Charlotte NC 28207-2808 Ph: (704) 910-2055 |
NPI Number | 1114239134 |
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Provider Enumeration Date | 07/07/2010 |
Last Update Date | 08/06/2022 |
Certification Date | 08/06/2022 |
Identifier | Type | State | Issuer |
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1114239134 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | C005180 (North Carolina) | Primary |
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