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Organization
THE CHANGE FROM WITHIN COUNSELING CENTER PLLC
Active
Organization
THE CHANGE FROM WITHIN COUNSELING CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIA EVANS (OWNER/THERAPIST)
(828) 312-0850
Entity
Organization
Contact information
Practice address
221 1ST AVE NW STE 207, HICKORY, NC 28601-6149
(828) 312-0850
Mailing address
4951 MAYBLE ST, CATAWBA, NC 28609-9306
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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