Organization
EMBRACE CHABAQ MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANITA ANN MOULTON LMFT (THERAPIST/PRESIDENT)
(704) 281-4424
Entity
Organization
Contact information
Practice address
8307 UNIVERSITY EXEC PARK DR STE 242, CHARLOTTE, NC 28262-1374
(704) 900-5560
Mailing address
8307 UNIVERSITY EXEC PARK DR STE 242, CHARLOTTE, NC 28262-1374
(704) 900-5560
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386878601
NPI
—
Enumeration date
07/05/2021
Last updated
07/05/2021
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