Organization
EQUIPOISE COUNSELING ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN D HARRIS LCMHC (OWNER/THERAPIST)
(309) 706-9336
Entity
Organization
Contact information
Practice address
229 S BREVARD ST STE 200F, CHARLOTTE, NC 28202-2495
(704) 490-3867
Mailing address
229 S BREVARD ST STE 200F, CHARLOTTE, NC 28202-2495
(704) 490-3867
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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