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Organization
PROFESSIONAL CARE LLC
Active
Organization
PROFESSIONAL CARE LLC
Active
Other names
Professional Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERI T ELLISON (MEMBER)
(704) 484-1058
Entity
Organization
Contact information
Practice address
320 E GRAHAM ST, SUITE 1, SHELBY, NC 28150-5568
(704) 484-1058
(704) 484-0787
Mailing address
320 E GRAHAM ST, SUITE 1, SHELBY, NC 28150-5568
(704) 484-1058
(704) 484-0787
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302573
—
NC
Enumeration date
10/09/2008
Last updated
06/09/2010
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