Organization
DTA WELLNESS AND COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SONIA DIANE BEVERLY LCSW (OWNER)
(704) 999-4586
Entity
Organization
Contact information
Practice address
9311 JW CLAY BLVD STE A-106, CHARLOTTE, NC 28262-5411
(980) 352-8536
Mailing address
9311 JW CLAY BLVD STE A-106, CHARLOTTE, NC 28262-5411
(980) 352-8536
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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