Organization
3C WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY SHAW (OWNER / THERAPIST)
(704) 713-9600
Entity
Organization
Contact information
Practice address
9711 DAVID TAYLOR DR, CHARLOTTE, NC 28262-2366
(704) 565-9578
Mailing address
11752 PRIDELAND CT, CHARLOTTE, NC 28273-4612
(704) 713-9600
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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