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Organization
PROTEA PSYCHOLOGICAL SERVICES LLC
Active
Organization
PROTEA PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA MILLER PSYD (OWNER)
(704) 668-6635
Entity
Organization
Contact information
Practice address
1923 J N PEASE PL STE 104, CHARLOTTE, NC 28262-4534
(704) 668-6635
(541) 314-9554
Mailing address
1923 J N PEASE PL STE 104, CHARLOTTE, NC 28262-4534
(704) 859-2762
(541) 314-9554
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
03/30/2023
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