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Organization
INNER TRANSFORMATION THERAPEUTIC SERVICES, PLLC
Active
Organization
INNER TRANSFORMATION THERAPEUTIC SERVICES, PLLC
Active
Other names
INNER TRANSFORMATION THERAPEUTIC SERVICES, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
CORRELIA D JOHNSON LCSW, LISW-CP, LCAS (OWNER)
(980) 230-8880
Entity
Organization
Contact information
Practice address
10130 PERIMETER PARKWAY SUITE 200 - #0425, CHARLOTTE, NC 28216
(980) 230-8880
(844) 841-1302
Mailing address
10130 PERIMETER PARKWAY SUITE 200 - #0425, CHARLOTTE, NC 28216
(980) 230-8880
(844) 841-1302
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/12/2014
Last updated
08/26/2022
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