Organization
LEADERSHIP AND RESILIENCE CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY LANNETTE WILSON LMFT (CHIEF EXECUTIVE OFFICER)
(704) 769-0660
Entity
Organization
Contact information
Practice address
200 FOREST RIDGE DR, FORT MILL, SC 29715-6418
(803) 543-7617
(800) 858-2194
Mailing address
15105D JOHN J DELANEY DR STE 192, CHARLOTTE, NC 28277-2741
(704) 769-0660
(800) 858-2194
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT000954G
GA
Other
Enumeration date
12/17/2005
Last updated
12/28/2020
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