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Organization
THE VILLAGE BEHAVIORAL HEALTHCARE SERVICES, INC
Active
Organization
THE VILLAGE BEHAVIORAL HEALTHCARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALIK ASHHALI MSW, LCSW, LCAS, CCS (OWNER, CLINICAL THERAPIST)
(704) 891-3481
Entity
Organization
Contact information
Practice address
3126 MILTON RD STE 233, CHARLOTTE, NC 28215-3782
(704) 817-9117
(855) 299-3536
Mailing address
3126 MILTON RD STE 233, CHARLOTTE, NC 28215-3782
(704) 891-3481
(855) 299-3536
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3040
NC
1041C0700X
Clinical Social Worker
Primary
C009966
NC
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/11/2016
Last updated
04/06/2022
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