Organization
B&G COUNSELING SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER TIDWELL (OWNER)
(201) 906-1025
Entity
Organization
Contact information
Practice address
11220 ELM LN STE 200, CHARLOTTE, NC 28277-0450
(201) 906-1025
Mailing address
424 ESTHER CT, FORT MILL, SC 29708-5707
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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