# COUNSELING AND WELLNESS CENTER OF LAKE NORMAN, PLLC

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

## Provider details

- **NPI number:** 1598221236
- **Authorized official:** BRITTNAI WASHBURN LMFT (OWNER/ORGANIZER)
- **Authorized official phone:** (828) 406-2828

## Contact information

- **Practice address:** 18117 W CATAWBA AVE STE 3, CORNELIUS, NC 28031-5641
- **Practice address phone:** (828) 263-4054
- **Practice address fax:** (704) 830-0465
- **Mailing address:** 9215 TORRENCE CROSSING DR, HUNTERSVILLE, NC 28078-8134
- **Mailing address phone:** (828) 406-2828
- **Mailing address fax:** (704) 830-0465

## Taxonomy

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

## Other

- **Enumeration date:** 02/19/2019
- **Last updated:** 02/19/2019