Organization
KARA L EWING, LCSW P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARA LACEY EWING LCSW (MENTAL HEALTH THERAPIST)
(704) 965-1218
Entity
Organization
Contact information
Practice address
1931 J N PEASE PL, CHARLOTTE, NC 28262-4544
(704) 965-1218
Mailing address
PO BOX 481656, CHARLOTTE, NC 28269-5314
(704) 965-1218
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
COO4626
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780617902
NPI (USED WITH EMPLOYMENT WITH COMMUNITY MH AGENCY; APPLYING FOR PRIVATE PRACTI
NC
05
—
6003517
—
NC
Enumeration date
07/16/2008
Last updated
07/16/2008
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