Organization
PATHWAYS TO GROWTH COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EMLIY LAUREN CANNON MSW, LCSW, RPT (OWNER, THERAPIST)
(704) 352-2111
Entity
Organization
Contact information
Practice address
5200 PARK RD, SUITE 236, CHARLOTTE, NC 28209-3650
(704) 352-2111
(704) 464-4688
Mailing address
5200 PARK RD, SUITE 236, CHARLOTTE, NC 28209-3650
(704) 352-2111
(704) 464-4688
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
C007032
NC
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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