Organization
BALANCED MINDSET COUNSELING AND PSYCHOLOGICAL SVCS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENE R. EDWARDS PH.D. (OWNER)
(704) 944-3572
Entity
Organization
Contact information
Practice address
10130 MALLARD CREEK RD STE 300, CHARLOTTE, NC 28262-6001
(704) 944-3572
(704) 944-3101
Mailing address
10130 MALLARD CREEK RD STE 300, CHARLOTTE, NC 28262-6001
(704) 944-3572
(704) 944-3101
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3660
NC
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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