CAROLINA'S CREATIVE COUNSELING NPI 1215237516

NPI Information

NPI: 1215237516
Provider Name: CAROLINA'S CREATIVE COUNSELING

Former Legal Business Name: CAROLINA'S CREATIVE COUNSELING, PA

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4415 MONROE ROAD, SUITE 100
CHARLOTTE, NC
ZIP 28205
Phone: (704) 332-3634
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CAROLINA'S CREATIVE COUNSELING is a mental health counselor in Charlotte, NC. CAROLINA'S CREATIVE COUNSELING NPI is 1215237516. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Carolina's Creative Counseling, Pa.

The provider's business location address is:

4415 MONROE ROAD, SUITE 100
CHARLOTTE, NC
ZIP 28205
Phone: (704) 332-3634
Fax: (704) 332-1801

The provider's authorized official is Cathleen R Harris .
The authorized official title is Owner & Ceo and has the following contact phone number (704) 332-3634.

The enumeration date for this NPI number is 11/2/2010 and was last updated on 1/11/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			No
2	101YM0800X	Counselor	Mental Health	MHL-060-1269	NORTH CAROLINA	Yes
3	103TP0016X	Psychologist	Prescribing (Medical)	MHL-060-1269	NORTH CAROLINA	No
4	251S00000X	Community/Behavioral Health				No
5	251S00000X	Community/Behavioral Health		MHL-060-1269	NORTH CAROLINA	No
6	324500000X	Substance Abuse Rehabilitation Facility		MHL-060-1269	NORTH CAROLINA	No

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: 5/5/2024

NPI Synchronization or Removal

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