Organization
CHILDREN'S HOMES OF CLEVELAND COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELENA DITZ MS, LMFT (DIRECTOR OF COMMUNITY SERVICES)
(704) 484-2558
Entity
Organization
Contact information
Practice address
1300C GIDNEY ST., SHELBY, NC 28150
(704) 484-2558
(704) 484-2042
Mailing address
PO BOX 2053, SHELBY, NC 28151-2053
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005965
—
NC
Enumeration date
10/13/2006
Last updated
03/14/2019
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