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Organization
SACRED PLACE COUNSELING, PLLC
Active
Organization
SACRED PLACE COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MILLINGTON-JOSEPH LCSW (CLINICAL SOCIAL WORKER)
(704) 430-0063
Entity
Organization
Contact information
Practice address
10130 MALLARD CREEK RD, CHARLOTTE, NC 28262-6000
(704) 430-0063
Mailing address
6838 SILVERWOOD LN, CHARLOTTE, NC 28215-7010
(704) 607-4190
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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