Organization
POLARIS COUNSELING CENTER PLLC
Active
Organization
POLARIS COUNSELING CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT COSTA LODWICK LCMHC (CEO)
(704) 476-5204
Entity
Organization
Contact information
Practice address
11709 FRUEHAUF DR # 0, CHARLOTTE, NC 28273-7284
(980) 396-2870
Mailing address
3957 ERSKINE WOODS DR, BESSEMER CITY, NC 28016-6556
(704) 476-5204
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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