Organization
ONE:12 COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY TAYLOR (BUSINESS MANAGER)
(704) 502-7969
Entity
Organization
Contact information
Practice address
7751 BALLANTYNE COMMONS PKWY STE 102, CHARLOTTE, NC 28277-2442
(704) 626-6550
(704) 626-6550
Mailing address
7751 BALLANTYNE COMMONS PKWY STE 102, CHARLOTTE, NC 28277-2442
(704) 626-6550
(704) 626-6550
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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