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Organization
ETHOS SERVICES GIVES BACK
Active
Organization
ETHOS SERVICES GIVES BACK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENNY LOCKLEAR MSW (CEO)
(980) 416-3025
Entity
Organization
Contact information
Practice address
442 E LONG AVE, GASTONIA, NC 28054-2527
(980) 416-3025
Mailing address
10501 ISLAND POINT RD, CHARLOTTE, NC 28278-6841
(980) 416-3025
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/21/2026
Last updated
08/21/2026
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