Organization
IVY COUNSELING AND THERAPUETIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CYNTHIA MICHELLE MCKNIGHT (CO-EXECUTIVE DIRECTOR)
(704) 231-8313
Entity
Organization
Contact information
Practice address
7013 PAWTUCKETT RD, CHARLOTTE, NC 28214-2232
(704) 231-8313
Mailing address
6600 ROSE POINT LN, CHARLOTTE, NC 28216-1990
(704) 231-8313
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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