| Waystation Counseling Pllc | |
|
4724 Park Rd Ste A Charlotte NC 28209-4204 | |
| (704) 218-9083 | |
| (980) 237-7512 |
| Full Name | Waystation Counseling Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4724 Park Rd Ste A, Charlotte, North Carolina |
| Authorized Official Name and Position | Julie Kornowski (CFO) |
| Authorized Official Contact | 9203600116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waystation Counseling Pllc 4724 Park Rd Ste A Charlotte NC 28209-4204 Ph: (704) 218-9083 | Waystation Counseling Pllc 4724 Park Rd Ste A Charlotte NC 28209-4204 Ph: (704) 218-9083 |
| NPI Number | 1972120558 |
|---|---|
| Provider Enumeration Date | 06/30/2020 |
| Last Update Date | 12/27/2021 |
| Certification Date | 10/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972120558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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