# CHILDREN'S HOMES OF CLEVELAND COUNTY

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

## Provider details

- **NPI number:** 1467542134
- **Authorized official:** CELENA DITZ MS, LMFT (DIRECTOR OF COMMUNITY SERVICES)
- **Authorized official phone:** (704) 484-2558

## Contact information

- **Practice address:** 1300C GIDNEY ST., SHELBY, NC 28150
- **Practice address phone:** (704) 484-2558
- **Practice address fax:** (704) 484-2042
- **Mailing address:** PO BOX 2053, SHELBY, NC 28151-2053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 03/14/2019