Organization
VISIONARY PASSAGE COUNSELING AND CONSULTATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE HEATH LPC, LCAS, CCS-I (CLINICAL DIRECTOR)
(704) 612-0180
Entity
Organization
Contact information
Practice address
615 E 6TH ST STE 2A, CHARLOTTE, NC 28202-2918
(704) 612-0180
Mailing address
3520 SIMMONS ST, CHARLOTTE, NC 28208-4754
(704) 726-4862
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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