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Organization
REPORE CONSULTING
Active
Organization
REPORE CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO DELANE ROPER LCMHCS, LCAS, CCS (OWNER)
(919) 588-4035
Entity
Organization
Contact information
Practice address
117 HOLDEN BEACH RD SW # 106, SHALLOTTE, NC 28470-1787
(919) 588-4035
Mailing address
117 HOLDEN BEACH RD SW # 106, SHALLOTTE, NC 28470-1787
(919) 588-4035
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/21/2026
Last updated
08/21/2026
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