Organization
CHARLOTTE FAMILY COUNSELING CENTER, PLLC
Active
Parent organization
CHARLOTTE FAMILY COUNSELING CENTER, LLC
Other names
Charlotte Family Counseling Center, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLOTTE FAMILY COUNSELING CENTER, LLC
Authorized official
MRS. SYLVIA S ROAN MSSA; LCSW; BCBA (PRESIDENT)
(704) 236-9390
Entity
Organization
Contact information
Practice address
1101 TYVOLA RD, STE 304, CHARLOTTE, NC 28217-3515
(704) 236-9390
(803) 693-0701
Mailing address
1362 SECRET PATH DR, FORT MILL, SC 29708-6545
(704) 236-9390
(803) 693-0701
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
9585
SC
251S00000X
Community/Behavioral Health Agency
Primary
C006890
NC
Other
Enumeration date
11/19/2011
Last updated
11/19/2011
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