Organization
COMMUNITY COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINE LINELL MAYFIELD (OWNER)
(704) 900-0905
Entity
Organization
Contact information
Practice address
7950 NATIONS FORD RD, STE D4, CHARLOTTE, NC 28217-8014
(704) 900-0905
Mailing address
7950 NATIONS FORD RD, STE D4, CHARLOTTE, NC 28217-8014
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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