Organization
CROWN KING THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REUBEN G JACKSON (OWNER)
(704) 606-4245
Entity
Organization
Contact information
Practice address
11915 N TRYON ST STE F, CHARLOTTE, NC 28262-4995
(704) 606-4245
(704) 606-4245
Mailing address
11915 N TRYON ST STE F, CHARLOTTE, NC 28262-4995
(704) 606-4245
(704) 606-4245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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