Organization
CRIMSON WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAHIYYA MARTIN (MEMBER/FOUNDER)
(704) 288-6945
Entity
Organization
Contact information
Practice address
3126 MILTON RD STE 230, CHARLOTTE, NC 28215-3775
(910) 434-5325
Mailing address
8322 CAROB TREE LN, CHARLOTTE, NC 28215-7142
(910) 434-5325
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
04/18/2022
Last updated
05/25/2022
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