Organization
CHARLOTTE COUNSELING GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY WOOD LPC (OWNER)
(704) 787-6869
Entity
Organization
Contact information
Practice address
5200 PARK RD, SUIT 111, CHARLOTTE, NC 28209-3650
(704) 787-6869
Mailing address
5200 PARK RD, CHARLOTTE, NC 28209-3650
(704) 787-6869
(888) 316-9747
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7172
NC
Other
Enumeration date
06/19/2012
Last updated
07/07/2012
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