Organization
CROWN AWAKENING PLLC
Active
Organization
CROWN AWAKENING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEAGAN BULLOCK LCSW (OWNER/MANAGER)
(704) 831-1999
Entity
Organization
Contact information
Practice address
1515 MOCKINGBIRD LN STE 360, CHARLOTTE, NC 28209-1172
(704) 831-1999
Mailing address
PO BOX 16934, CHARLOTTE, NC 28297-6934
(704) 831-1999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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