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Organization
CHARLOTTE THERAPY CENTER
Active
Organization
CHARLOTTE THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH EDWARD NISSEN LCSW (OWNER/THERAPIST)
(704) 900-2904
Entity
Organization
Contact information
Practice address
325 MATTHEWS MINT HILL RD STE 103, MATTHEWS, NC 28105-2889
(704) 900-2904
Mailing address
11433 BAYSTONE PL, CONCORD, NC 28025-9107
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
C
NC
Other
Enumeration date
07/27/2017
Last updated
07/09/2025
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