Organization
DYNAMIC CHANGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY KUNZ LMFT (OWNER)
(980) 229-9492
Entity
Organization
Contact information
Practice address
1616 CLEVELAND AVE, SUITE 206, CHARLOTTE, NC 28203-4855
(980) 229-9492
Mailing address
1616 CLEVELAND AVE, SUITE 206, CHARLOTTE, NC 28203-4855
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1203
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147VU
BCBS
NC
Enumeration date
05/30/2012
Last updated
05/30/2012
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