Organization
CAUTHEN COUNSELING AND CONSULTING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANA N. CAUTHEN LCSW (OWNER)
(704) 433-5267
Entity
Organization
Contact information
Practice address
10130 MALLARD CREEK RD STE 300, CHARLOTTE, NC 28262-6001
(704) 850-6479
(704) 603-3011
Mailing address
10130 MALLARD CREEK RD STE 300, CHARLOTTE, NC 28262-6001
(704) 433-5267
(704) 603-3011
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C005932
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326218512
—
NC
Enumeration date
05/15/2018
Last updated
05/18/2022
Update your record
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