# RYAN WISHART LMFT PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WIshart Counseling & Coaching
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174347983
- **Authorized official:** RYAN WISHART LMFT, LCAS (OWNER/THERAPIST)
- **Authorized official phone:** (704) 816-0667

## Contact information

- **Practice address:** 910 EAST BLVD STE 203, CHARLOTTE, NC 28203-5204
- **Practice address phone:** (704) 816-0667
- **Mailing address:** 910 EAST BLVD STE 203, CHARLOTTE, NC 28203-5204
- **Mailing address phone:** (704) 816-0667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/09/2024
- **Last updated:** 11/09/2024