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Organization
PHOENIX COUNSELING OF GASTON LINCOLN AND CLEVELAND
Active
Organization
PHOENIX COUNSELING OF GASTON LINCOLN AND CLEVELAND
Active
Other names
Phoenix Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN P. OLIVER MA, MPA (EXECUTIVE DIRECTOR)
(704) 921-3070
Entity
Organization
Contact information
Practice address
341 E MAIN ST, SUITE 201, LINCOLNTON, NC 28092-3334
(704) 921-3070
(704) 921-3066
Mailing address
4007 WILD NURSERY CT, CHARLOTTE, NC 28215-5345
(704) 921-3070
(704) 921-3066
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NC
101YM0800X
Mental Health Counselor
—
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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