34D2120257 CLIA NUMBER - CAROLINA CONVENIENT CARE, PLLC

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Laboratory Demographics

CLIA Number: 34D2120257

Facility Name: CAROLINA CONVENIENT CARE, PLLC

Facility Address:
98 CHAPELTON COURT, SUITE 310
CHAPEL HILL, NC
ZIP 27516
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Facility Phone Number: 919 240-4799

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1942226360

Taxonomy: 106H00000X - Marriage & Family Therapist
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.

CLIA Record

Field Name	Field Value
CLIA Number	34D2120257
LAB Type	Other - URGENT CARE
Facility Name	CAROLINA CONVENIENT CARE, PLLC
Street	98 CHAPELTON COURT, SUITE 310
City	CHAPEL HILL
State	NC
ZIP	27516
Phone	919 240-4799
CertificateType	4
CertificateEffectiveDate	10/13/2022
CertificateExpirationDate	10/12/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024