# GREAT ROSE COUNSELING ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043098585
- **Authorized official:** MR. MARK ANTHONY STURGIS JR. LCAS, LCMHCA, CSI (OWNER)
- **Authorized official phone:** (704) 791-0611

## Contact information

- **Practice address:** 11 UNION ST S STE LL228, CONCORD, NC 28025-5059
- **Practice address phone:** (704) 791-0611
- **Mailing address:** 13032 GRAYMIST DR, CHARLOTTE, NC 28215-6030
- **Mailing address phone:** (704) 791-0611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |

## Other

- **Enumeration date:** 09/18/2023
- **Last updated:** 09/18/2023