Organization
828THERAPEUTICSERVICESPLLC
Active
Other names
828TherapeuticServicesPLLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHENEQUA COLLINS (CEO/CLINICAL SOCIAL WORKER)
(980) 288-8840
Entity
Organization
Contact information
Practice address
7312 DULNIAN WAY, CHARLOTTE, NC 28278-7908
(980) 613-3794
Mailing address
7312 DULNIAN WAY, CHARLOTTE, NC 28278-7908
(980) 288-8840
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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