Organization
COOPER COUNSELING AND THERAPY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARMAN VATRELL COOPER LCSW (OWNER)
(980) 900-9574
Entity
Organization
Contact information
Practice address
6047 TYVOLA GLEN CIR STE 211, CHARLOTTE, NC 28217-6437
(980) 900-9574
(704) 780-1066
Mailing address
10109 GLENBURN LN, CHARLOTTE, NC 28278-6001
(980) 900-9574
(704) 780-1066
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
10/05/2021
Last updated
01/28/2025
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