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Organization
SOULSTICE COUNSELING & WELLNESS, PLLC
Active
Organization
SOULSTICE COUNSELING & WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE ADRIANE LEWIS LCSW, LCAS (OWNER)
(704) 737-5878
Entity
Organization
Contact information
Practice address
10130 MALLARD CREEK RD STE 300, CHARLOTTE, NC 28262-6001
(980) 272-0352
(980) 206-0187
Mailing address
10130 MALLARD CREEK RD, CHARLOTTE, NC 28262-6000
(980) 272-0352
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/28/2020
Last updated
03/18/2021
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