Organization
CHILD & FAMILY THERAPY CENTER PC
Active
Organization
CHILD & FAMILY THERAPY CENTER PC
Active
Parent organization
CHILD & FAMILY THERAPY CENTER PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILD & FAMILY THERAPY CENTER PC
Authorized official
MRS. PAMELA H JAMES (OFFICE MANAGER)
(704) 664-7148
Entity
Organization
Contact information
Practice address
715 FAIRGROVE CHURCH RD SE, SUITE 102, CONOVER, NC 28613-9290
(704) 664-7148
(704) 664-3086
Mailing address
363 WILLIAMSON RD, SUITE 102, MOORESVILLE, NC 28117-5974
(704) 664-7148
(704) 664-3086
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
851
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6006780
—
NC
Enumeration date
12/08/2009
Last updated
03/03/2015
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