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Organization

THE ESSENCE OF ME CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA THORPE-MOSS MSP (CHIEF EXECUTIVE OFFICER)
(919) 333-7657
Entity
Organization

Contact information

Practice address
6705 MALLARD CREEK RD, CHARLOTTE, NC 28262-2212
(919) 333-7657
Mailing address
6705 MALLARD CREEK RD, CHARLOTTE, NC 28262-2212

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor
251B00000X
Case Management Agency

Other

Enumeration date
03/18/2014
Last updated
03/18/2014
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