Organization
HEARST PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARKIA HEARST LCSW (OWNER)
(704) 951-4859
Entity
Organization
Contact information
Practice address
3420 ARKLOW RD, CHARLOTTE, NC 28269-0778
(704) 951-4859
Mailing address
3020I PROSPERITY CHURCH RD # 964, CHARLOTTE, NC 28269-8112
(704) 951-4859
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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