Organization
FULFILLED SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINWOOD HIGH (OWNER/MANAGER)
(980) 428-4751
Entity
Organization
Contact information
Practice address
3148 MARGELLINA DR, CHARLOTTE, NC 28210-4001
(980) 428-4751
Mailing address
3148 MARGELLINA DR, CHARLOTTE, NC 28210-4001
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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