Organization
WARM HEARTS SUPPORTIVE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LASTARRA S MCDONALD (CEO)
(704) 819-1965
Entity
Organization
Contact information
Practice address
516 N GRAHAM ST STE A7, CHARLOTTE, NC 28202-1484
(980) 201-9582
Mailing address
4921 GIBBONS LINK RD, CHARLOTTE, NC 28269-2670
(704) 819-1965
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
175T00000X
Peer Specialist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
06/17/2025
Last updated
06/24/2025
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