Organization
BE WHOLE COUNSELING AND WELLNESS SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ISIS REDDICK-UMOJA LPC (CLINICAL DIRECTOR/THERAPIST)
(704) 733-7475
Entity
Organization
Contact information
Practice address
9635 SOUTHERN PINE BLVD STE 124, CHARLOTTE, NC 28273
(704) 733-7475
Mailing address
10506 GROBIE WAY APT 207, CHARLOTTE, NC 28216-0251
(704) 733-7475
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5341
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103236
—
NC
Enumeration date
12/09/2011
Last updated
03/12/2019
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