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Organization

WILHELMENA CONSULTANT AND RESEARCH AGENCY, PLLC

Active
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Organization

WILHELMENA CONSULTANT AND RESEARCH AGENCY, PLLC

Active
Parent organization
WILHELMENA CONSULTANT AND RESEARCH AGENCY, PLLC
Other names
The Wilhelmena Agengy, PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
WILHELMENA CONSULTANT AND RESEARCH AGENCY, PLLC
Authorized official
MRS. THERESA WILHELMENA MCCORMICK-DUNLAP MSW, LCSW (CLINICAL THERAPIST)
(704) 891-5694
Entity
Organization

Contact information

Practice address
5009 BEATTIES FORD RD STE 107-114, CHARLOTTE, NC 28216-2859
(704) 891-5694
Mailing address
5009 BEATTIES FORD RD STE 107-114, CHARLOTTE, NC 28216-2859
(704) 891-5694

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QA0900X
Amputee Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—

Other

Enumeration date
10/30/2023
Last updated
11/08/2023
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