Organization
ARDENT PATH COUNSELING AND CLINICAL CONSULTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNA N LIERSAPH LCMHC (MENTAL HEALTH COUNSELOR/OWNER)
(704) 807-3768
Entity
Organization
Contact information
Practice address
11230 CARMEL COMMONS BLVD STE 106, CHARLOTTE, NC 28226-3920
(704) 807-3768
Mailing address
1079 PEACHTREE LN, FORT MILL, SC 29715-2160
(704) 807-3768
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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