Organization
CHRISTIAN FOCUS COUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WINSTON LASSITER (EXCUTIVE DIRECTOR)
(704) 563-9908
Entity
Organization
Contact information
Practice address
4401 E INDEPENDENCE BLVD, SUITE 207, CHARLOTTE, NC 28205-7485
(704) 563-9908
Mailing address
PO BOX 189107, CHARLOTTE, NC 28218-9107
(704) 563-9908
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-060-257
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005409
—
NC
Enumeration date
01/19/2007
Last updated
08/22/2020
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