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CHARLOTTE FAMILY COUNSELING CENTER PLLC NPI 1669749644


NPI Information

NPI: 1669749644
Provider Name: CHARLOTTE FAMILY COUNSELING CENTER, PLLC

Doing Business As: CHARLOTTE FAMILY COUNSELING CENTER, LLC

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 34D2242917

Address:
1101 TYVOLA RD
STE 304
CHARLOTTE, NC
ZIP 28217
Phone: (704) 236-9390
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CHARLOTTE FAMILY COUNSELING CENTER, PLLC is a community behavioral health in Charlotte, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. CHARLOTTE FAMILY COUNSELING CENTER, PLLC NPI is 1669749644. The provider is registered as an organization entity type.
The provider Is Doing Business As Charlotte Family Counseling Center, Llc.

The provider's business location address is:

1101 TYVOLA RD
STE 304
CHARLOTTE, NC
ZIP 28217-515
Phone: (704) 236-9390
Fax: (803) 693-0701

The provider's authorized official is Sylvia S Roan .
The authorized official title is President and has the following contact phone number (704) 236-9390.

The CLIA number assigned to this NPI record is 34D2242917 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/19/2011 and was last updated on 11/19/2011.


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
1251S00000XCommunity/Behavioral Health9585SOUTH CAROLINANo
2251S00000XCommunity/Behavioral HealthC006890NORTH CAROLINAYes

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: 11/14/2023

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