Organization
NULIFE CONSULTING & THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASAUNDRA DENISE MOODY (CEO)
(980) 239-4383
Entity
Organization
Contact information
Practice address
5513 MONROE RD, SUITE 204, CHARLOTTE, NC 28212-5503
(980) 239-4383
Mailing address
5513 MONROE RD, SUITE 204, CHARLOTTE, NC 28212-5503
(980) 239-4383
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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