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Organization
PIVOTAL IMPACT, INC
Active
Organization
PIVOTAL IMPACT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN COX (MEMBER MANAGER)
(919) 824-9595
Entity
Organization
Contact information
Practice address
801 E MOREHEAD ST STE 301, CHARLOTTE, NC 28202-2737
(919) 824-9595
Mailing address
15105D JOHN J DELANEY DR # 186, CHARLOTTE, NC 28277-2741
(919) 824-9595
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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