Organization
HEAVENLY HANDS FAMILY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT MITCHELL (CEO)
(704) 763-2318
Entity
Organization
Contact information
Practice address
7950 NATIONS FORD RD, CHARLOTTE, NC 28217-8014
(704) 763-2318
(704) 909-6946
Mailing address
7950 NATIONS FORD RD, CHARLOTTE, NC 28217-8014
(704) 763-2318
(704) 909-6946
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6006569
—
NC
05
—
83202440
—
NC
Enumeration date
01/16/2015
Last updated
03/18/2015
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