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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