Individual
CARMELLA WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3541 COTILLION AVE., CHARLOTTE, NC 28210
(646) 530-0993
Mailing address
6747 FAIRVIEW RD, SUITE C, CHARLOTTE, NC 28210-3354
(646) 530-0993
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1590
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106H00000X
BLUE CROSS BLUE SHEILD NORTH CAROLINA PPO
NC
Enumeration date
03/25/2015
Last updated
03/25/2015
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