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Organization
MCCLOUD ACOSTA CLINICAL SERVICES PLLC
Active
Organization
MCCLOUD ACOSTA CLINICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE B MCCLOUD LCSW (CO-OWNER)
(704) 998-1760
Entity
Organization
Contact information
Practice address
3719 LATROBE DR, SUITE 820, CHARLOTTE, NC 28211-4861
(704) 286-6227
Mailing address
3719 LATROBE DR, SUITE 820, CHARLOTTE, NC 28211-4861
(704) 286-6227
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NC
101YP2500X
Professional Counselor
7687
NC
1041C0700X
Clinical Social Worker
Primary
C002962
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346336153
PLLC OWNER NPI
NC
Enumeration date
10/23/2014
Last updated
10/23/2014
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