Organization
MODERN ERA COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW R SMITH LCMHC (OWNER & THERAPIST)
(704) 954-8295
Entity
Organization
Contact information
Practice address
4730 PARK RD STE A, CHARLOTTE, NC 28209-4205
(704) 317-7638
Mailing address
4730 PARK RD STE A, CHARLOTTE, NC 28209-4205
(704) 317-7638
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/02/2019
Last updated
10/02/2023
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