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Organization

MINDSPACE COUNSELING, PLLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LIN HU (OWNER)
(704) 282-1661
Entity
Organization

Contact information

Practice address
1118 SAM NEWELL RD STE D, MATTHEWS, NC 28105-5041
(704) 282-1661
Mailing address
PO BOX 78696, CHARLOTTE, NC 28271-7038

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor

Other

Enumeration date
07/31/2019
Last updated
07/31/2019
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