| Ryan Wishart Lmft Pllc | |
|
910 East Blvd Ste 203 Charlotte NC 28203-5204 | |
| (704) 816-0667 | |
| Not Available |
| Full Name | Ryan Wishart Lmft Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 910 East Blvd Ste 203, Charlotte, North Carolina |
| Authorized Official Name and Position | Ryan Wishart (OWNER/THERAPIST) |
| Authorized Official Contact | 7048160667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Wishart Lmft Pllc 910 East Blvd Ste 203 Charlotte NC 28203-5204 Ph: (704) 816-0667 | Ryan Wishart Lmft Pllc 910 East Blvd Ste 203 Charlotte NC 28203-5204 Ph: (704) 816-0667 |
| NPI Number | 1174347983 |
|---|---|
| Provider Enumeration Date | 11/09/2024 |
| Last Update Date | 11/09/2024 |
| Certification Date | 11/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174347983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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