Organization
CENTER FOR HOLISTIC PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY G BOBIS LCSW (CO DIRECTOR)
(704) 332-8394
Entity
Organization
Contact information
Practice address
1801 E 5TH STREET, SUITE 204, CHARLOTTE, NC 28204
(704) 375-3545
(704) 375-3632
Mailing address
1801 E 5TH STREET, SUITE 204, CHARLOTTE, NC 28204
(704) 375-3545
(704) 375-3632
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017G8
BCBS
—
Enumeration date
02/08/2007
Last updated
04/12/2016
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