Organization
BASIC CONCEPTS - LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEBA STOWE LPC (OWNER)
(704) 674-5464
Entity
Organization
Contact information
Practice address
9930 TREESIDE LN, MATTHEWS, NC 28105-7221
(704) 674-5464
Mailing address
9930 TREESIDE LN, MATTHEWS, NC 28105-7221
(704) 674-5464
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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