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Organization

ATLAS COUNSELING PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARILYN S ATLAS LCSW (MANAGER PSYCHOTHERAPIST)
(704) 658-9676
Entity
Organization

Contact information

Practice address
816 BRAWLEY SCHOOL RD STE F, 4, MOORESVILLE, NC 28117-6201
(704) 658-9676
(704) 799-3258
Mailing address
816 BRAWLEY SCHOOL RD STE F, 4, MOORESVILLE, NC 28117-6201
(704) 658-9676
(704) 799-3258

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004741
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
143NJ
BCBS NC
NC
05
6106455
NC
Enumeration date
07/19/2007
Last updated
06/24/2010
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