Organization
IAMHONORED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARVA LEWIS LCMHC-A (EXECUTIVE DIRECTOR)
(334) 655-2944
Entity
Organization
Contact information
Practice address
3001 WESTBURY LAKE DR APT Q, CHARLOTTE, NC 28269-2244
(334) 655-2944
Mailing address
3001 WESTBURY LAKE DR APT Q, CHARLOTTE, NC 28269-2244
(334) 655-2944
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
12/27/2022
Last updated
01/06/2023
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