Organization
PEACEFUL MINDS COUNSELING AND CONSULTING, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIEDAH MARTIN LCSWA (OWNER/LICENSED CLINICAL SOCIAL WORK)
(980) 224-0239
Entity
Organization
Contact information
Practice address
13000 S TRYON ST STE F165, CHARLOTTE, NC 28278-7652
(704) 492-8525
Mailing address
13000 S TRYON ST STE F165, CHARLOTTE, NC 28278-7652
(704) 492-8525
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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