Organization
CALISSA'S COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CALISSA NICOLE WELCH LCSW (CLINICAL DIRECTOR/OWNER)
(860) 778-5317
Entity
Organization
Contact information
Practice address
12141 OLD DULIN FARMS WAY, CHARLOTTE, NC 28215-5208
(860) 778-5317
(860) 955-4453
Mailing address
12141 OLD DULIN FARMS WAY, CHARLOTTE, NC 28215-5208
(860) 778-5317
(860) 955-4453
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/16/2018
Last updated
09/28/2023
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