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Organization
INTEGRATIVE THERAPEUTIC COUNSELING SERVICES
Active
Organization
INTEGRATIVE THERAPEUTIC COUNSELING SERVICES
Active
Other names
Integrative Therapeutic Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEENA ILEAN HASTY LCASA-23287 (CEO)
(540) 320-2859
Entity
Organization
Contact information
Practice address
1101 TYVOLA RD STE 218, CHARLOTTE, NC 28217-3515
(540) 320-2859
Mailing address
607 PINE TREE ES DR, SALISBURY, NC 28144-0517
(540) 320-2859
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
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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