# FRESH INSIGHTS COUNSELING PC

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

## Provider details

- **NPI number:** 1548099146
- **Authorized official:** GEANETTA JOHNSON AGBONA CPC CRC CPC-I (ADMINISTRATOR)
- **Authorized official phone:** (704) 254-7900

## Contact information

- **Practice address:** 7704 ENGLAND ST, CHARLOTTE, NC 28273-5954
- **Practice address phone:** (704) 965-5015
- **Mailing address:** 7704 ENGLAND ST, CHARLOTTE, NC 28273-5954
- **Mailing address phone:** (704) 965-5015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |

## Other

- **Enumeration date:** 07/31/2024
- **Last updated:** 08/07/2024