Organization
CAROLINA'S CREATIVE COUNSELING
Active
Other names
Carolina's Creative Counseling, PA
Organization subpart
No
Provider details
NPI number
Authorized official
CATHLEEN R HARRIS LCSW (OWNER & CEO)
(704) 332-3634
Entity
Organization
Contact information
Practice address
4415 MONROE ROAD, SUITE 100, CHARLOTTE, NC 28205
(704) 332-3634
(704) 332-1801
Mailing address
4415 MONROE ROAD, SUITE 100, CHARLOTTE, NC 28205
(704) 332-3634
(704) 332-1801
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHL-060-1269
NC
101YM0800X
Mental Health Counselor
—
—
103TP0016X
Prescribing (Medical) Psychologist
MHL-060-1269
NC
251S00000X
Community/Behavioral Health Agency
MHL-060-1269
NC
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
MHL-060-1269
NC
Other
Enumeration date
11/02/2010
Last updated
01/11/2018
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