| Protea Psychological Services Llc | |
|
1923 J N Pease Pl Ste 104 Charlotte NC 28262-4534 | |
| (704) 668-6635 | |
| (541) 314-9554 |
| Full Name | Protea Psychological Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1923 J N Pease Pl Ste 104, Charlotte, North Carolina |
| Authorized Official Name and Position | Latasha Miller (OWNER) |
| Authorized Official Contact | 7046686635 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Protea Psychological Services Llc 1923 J N Pease Pl Ste 104 Charlotte NC 28262-4534 Ph: (704) 859-2762 | Protea Psychological Services Llc 1923 J N Pease Pl Ste 104 Charlotte NC 28262-4534 Ph: (704) 668-6635 |
| NPI Number | 1922766849 |
|---|---|
| Provider Enumeration Date | 12/08/2021 |
| Last Update Date | 03/30/2023 |
| Certification Date | 03/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922766849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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