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Organization

PORCELAIN DOLLS OF THE CAROLINAS, INC

Active
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Organization

PORCELAIN DOLLS OF THE CAROLINAS, INC

Active
Other names
Porcelain Dolls
Organization subpart
No

Provider details

NPI number
Authorized official
LISA M LEE (EXECUTIVE DIRECTOR)
(704) 951-5987
Entity
Organization

Contact information

Practice address
5835 EXECUTIVE CENTER DR # 101-I, CHARLOTTE, NC 28212
(704) 606-7824
Mailing address
13000 S TRYON ST # F-122, CHARLOTTE, NC 28278-7652
(704) 951-5987
(980) 219-8444

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
305S00000X
Point of Service
—
—

Other

Enumeration date
07/30/2018
Last updated
11/05/2021
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