Organization
UNIQUE BLESSINGS NON PROFIT ORGANIZATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHANTELLE EVANS (FOUNDER)
(704) 907-0617
Entity
Organization
Contact information
Practice address
2428 FREEDOM DR, CHARLOTTE, NC 28208-4045
(704) 907-0617
Mailing address
6839 WAGON OAK RD, CHARLOTTE, NC 28212-8580
(704) 907-0617
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251B0000X
—
NC
Enumeration date
01/06/2021
Last updated
09/06/2024
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