| Living Legacies Therapeutic Services Pllc | |
|
10130 Mallard Creek Rd Ste 300 Charlotte NC 28262-6001 | |
| (980) 225-1585 | |
| (980) 701-0046 |
| Full Name | Living Legacies Therapeutic Services Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 10130 Mallard Creek Rd Ste 300, Charlotte, North Carolina |
| Authorized Official Name and Position | Amber Kimble (OWNER) |
| Authorized Official Contact | 9802251585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Legacies Therapeutic Services Pllc 10130 Mallard Creek Rd Ste 300 Charlotte NC 28262-6001 Ph: (980) 225-1585 | Living Legacies Therapeutic Services Pllc 10130 Mallard Creek Rd Ste 300 Charlotte NC 28262-6001 Ph: (980) 225-1585 |
| NPI Number | 1699311340 |
|---|---|
| Provider Enumeration Date | 11/18/2019 |
| Last Update Date | 11/18/2019 |
| Medicare PECOS PAC ID | 8224460878 |
|---|---|
| Medicare Enrollment ID | O20191120000174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699311340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amber Kimble |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033599618 PECOS PAC ID: 2668804212 Enrollment ID: I20191120000347 |
Barbara Kaplan Mhdl Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 East Woodlawn Road, Suite 136, Charlotte, NC 28217 Phone: 704-527-2108 Fax: 704-527-2108 | |
Carolina Care One, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3601 Beaux St, Charlotte, NC 28208 Phone: 704-299-2616 | |
Myers Park Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2435 Umar Ct, Charlotte, NC 28215 Phone: 704-566-0245 | |
Monarch Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 Robinhood Cir, Charlotte, NC 28227 Phone: 704-563-8894 | |
Primary Care Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5601 Executive Center Dr Ste 200, Charlotte, NC 28212 Phone: 704-537-1022 Fax: 704-569-0822 | |
Carawell Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3315 Springbank Ln Ste 302, Charlotte, NC 28226 Phone: 704-288-0314 Fax: 704-288-0310 | |
Healing Pathways Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1931 J N Pease Pl Ste 201, Charlotte, NC 28262 Phone: 980-237-2709 Fax: 704-817-9154 |