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Organization

LSJ RESILIENCE PROJECT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAKESHA SHINGLER HOWELL (PRESIDENT)
(704) 671-2172
Entity
Organization

Contact information

Practice address
1905 J N PEASE PL STE 103, CHARLOTTE, NC 28262-4509
(704) 910-0136
Mailing address
1905 J N PEASE PL STE 103, CHARLOTTE, NC 28262-4509
(704) 910-0136

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
320800000X
Mental Illness Community Based Residential Treatment Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other

Enumeration date
01/30/2024
Last updated
02/06/2026
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