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EMBRACE CHABAQ MINISTRIES NPI 1396316089


NPI Information

NPI: 1396316089
Provider Name: EMBRACE CHABAQ MINISTRIES
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
8307 UNIVERSITY EXEC PARK DR STE 242
CHARLOTTE, NC
ZIP 28262
Phone: (704) 900-5560
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EMBRACE CHABAQ MINISTRIES is a marriage family therapist in Charlotte, NC. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. EMBRACE CHABAQ MINISTRIES NPI is 1396316089. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8307 UNIVERSITY EXEC PARK DR STE 242
CHARLOTTE, NC
ZIP 28262-374
Phone: (704) 900-5560

The provider's authorized official is Sanita Ann Moulton .
The authorized official title is Therapist/president and has the following contact phone number (704) 281-4424.

The enumeration date for this NPI number is 7/5/2021 and was last updated on 7/5/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106H00000XMarriage & Family TherapistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11386878601OTHERNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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