Organization
CP COALITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENUS ALLEN MS MSW LCASA CMC (TCM SUPERVISOR)
(704) 231-2859
Entity
Organization
Contact information
Practice address
8511 DAVIS LAKE PKWY STE C6-234, CHARLOTTE, NC 28269-0536
(704) 231-2859
(704) 672-5234
Mailing address
8511 DAVIS LAKE PKWY STE C6-234, CHARLOTTE, NC 28269-0536
(704) 231-2859
(704) 672-5234
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
08/22/2024
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