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Organization
TRAUMA ASSESSMENT & TREATMENT CENTER, PLLC
Active
Organization
TRAUMA ASSESSMENT & TREATMENT CENTER, PLLC
Active
Other names
Leslie L. Williams
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE WILLIAMS LCSW, CCTP (LCSW, CCTP/ CLINICAL DIRECTOR)
(704) 921-9943
Entity
Organization
Contact information
Practice address
1914 J N PEASE PL STE 150, CHARLOTTE, NC 28262-4504
(704) 921-9943
(704) 665-1959
Mailing address
8531 RIDGELINE LN, CHARLOTTE, NC 28269-8000
(704) 921-9943
(704) 665-1959
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C006756
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000816420001
UHC-OPTUM
NC
01
—
02GFQ
BLUE CROSS AND BLUE SHIELD OF NC
NC
01
—
13604553
CIGNA
NC
01
—
5092840
AETNA
NC
05
—
6007532
—
NC
01
—
928979
AVAILITY
NC
Enumeration date
05/30/2012
Last updated
04/16/2021
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