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Organization
ESSENCE OF LIFE THERAPY & WELLNESS, PLLC
Active
Organization
ESSENCE OF LIFE THERAPY & WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE D STOVER LCSW (OWNER/ THERAPIST)
(803) 972-9877
Entity
Organization
Contact information
Practice address
322 LAMAR AVE, STE 101 #300, CHARLOTTE, NC 28204
(980) 224-0427
Mailing address
9532 BRACKENVIEW CT, CHARLOTTE, NC 28214-3201
(980) 224-0427
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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