# ERVIN HOUSE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801075510
- **Authorized official:** DEANGELA M ERVIN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (704) 426-9457

## Contact information

- **Practice address:** 1069 BRIANNA WAY, CHARLOTTE, NC 28217-1261
- **Practice address phone:** (704) 426-9457
- **Mailing address:** 2022 SYRACUSE DR, CHARLOTTE, NC 28216-4421
- **Mailing address phone:** (704) 426-9457

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | MHL-060-1010 | NC | Yes |

## Other

- **Enumeration date:** 10/30/2007
- **Last updated:** 10/30/2007