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Organization

CREATING CHANGE, PLLC

Active
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Organization

CREATING CHANGE, PLLC

Active
Other names
Creating Change, PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
SHUANTIA BARBER (FOUNDER/CEO)
(336) 341-5994
Entity
Organization

Contact information

Practice address
10130 MALLARD CREEK RD STE 300, CHARLOTTE, NC 28262-6001
(704) 807-4366
(704) 944-3101
Mailing address
10130 MALLARD CREEK RD STE 300, CHARLOTTE, NC 28262-6001
(704) 807-4366

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
10/28/2020
Last updated
10/28/2020
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