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Organization
SPRINGS OF WELLNESS & CONSULTING, PLLC
Active
Organization
SPRINGS OF WELLNESS & CONSULTING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLETA C. WYLIE LCSW (OWNER)
(980) 999-3547
Entity
Organization
Contact information
Practice address
615 E 6TH ST STE 112, CHARLOTTE, NC 28202-2918
(980) 999-3547
(980) 213-0283
Mailing address
PO BOX 36213, CHARLOTTE, NC 28236-6213
(980) 999-3547
(980) 213-0283
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770728909
—
NC
Enumeration date
10/02/2018
Last updated
10/02/2018
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