# EMBRACE CHABAQ MINISTRIES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396316089
- **Authorized official:** SANITA ANN MOULTON LMFT (THERAPIST/PRESIDENT)
- **Authorized official phone:** (704) 281-4424

## Contact information

- **Practice address:** 8307 UNIVERSITY EXEC PARK DR STE 242, CHARLOTTE, NC 28262-1374
- **Practice address phone:** (704) 900-5560
- **Mailing address:** 8307 UNIVERSITY EXEC PARK DR STE 242, CHARLOTTE, NC 28262-1374
- **Mailing address phone:** (704) 900-5560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/05/2021
- **Last updated:** 07/05/2021