Organization
COUNSELING AND PSYCHOLOGICAL SERVICES - CHARLOTTE
Active
Other names
CAPS-Charlotte
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TISHA JOHNSON PSYD (OWNER)
(704) 248-2971
Entity
Organization
Contact information
Practice address
3623 LATROBE DR STE 201, CHARLOTTE, NC 28211-4885
(704) 248-2971
Mailing address
PO BOX 950032, ATLANTA, GA 30377-2032
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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