CHARLOTTE COUNSELING AND WELLNESS CENTER, PLLC - NPI 1598083230

Q: What is Charlotte Counseling And Wellness Center, PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

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About Charlotte Counseling And Wellness Center, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLOTTE COUNSELING AND WELLNESS CENTER, PLLC (NPI 1598083230) is a healthcare organization registered as a professional in Charlotte, North Carolina and active in the NPI registry since May 2010. The organization lists Diana A Moser-burg, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1598083230

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameCHARLOTTE COUNSELING AND WELLNESS CENTER, PLLC

Location Address1811 SARDIS RD N STE 207Charlotte, NC 28270-3000

Mailing Address1211 Applegate PkwyWaxhaw, NC 28173-6726 · (704) 256-4893 · Fax (704) 256-4893

Phone(757) 285-0565

Fax(704) 256-4893

Organization SubpartNo

Authorized OfficialDiana A Moser-burgSole Proprietor · (704) 256-4893

Enumeration DateMay 5, 2010

✔ NPI 1598083230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in NC · 7193

1811 SARDIS RD N STE 207, Charlotte, NC 28270

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Other Identifiers 1

Medicaid6104058NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. LANCE ROBERT NELSON M.A. L.P.C.S.

Counselor (Professional)