| Polaris Counseling Center Pllc | |
|
11709 Fruehauf Dr # 0 Charlotte NC 28273-7284 | |
| (980) 396-2870 | |
| Not Available |
| Full Name | Polaris Counseling Center Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 11709 Fruehauf Dr # 0, Charlotte, North Carolina |
| Authorized Official Name and Position | Robert Costa Lodwick (CEO) |
| Authorized Official Contact | 7044765204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Polaris Counseling Center Pllc 3957 Erskine Woods Dr Bessemer City NC 28016-6556 Ph: (704) 476-5204 | Polaris Counseling Center Pllc 11709 Fruehauf Dr # 0 Charlotte NC 28273-7284 Ph: (980) 396-2870 |
| NPI Number | 1417648239 |
|---|---|
| Provider Enumeration Date | 05/15/2023 |
| Last Update Date | 05/15/2023 |
| Certification Date | 05/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417648239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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