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Organization
PHOENIX COUNSELING CENTER
Active
Organization
PHOENIX COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY C BRANNON (CREDENTIALING)
(704) 884-2060
Entity
Organization
Contact information
Practice address
631 BRAWLEY SCHOOL RD, SUITE 200B PMB 301, MOORESVILLE, NC 28117-6204
(704) 360-4531
(704) 360-2544
Mailing address
917 1ST ST, SHELBY, NC 28150-3958
(704) 476-4106
(704) 476-4105
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2932A
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2932A
NCSAPPB
NC
Enumeration date
06/03/2014
Last updated
06/03/2014
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