Organization
FAMILY THERAPY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY MARIE SHELTONPRIEK LCSW (CLINICAL DIRECTOR)
(704) 639-9889
Entity
Organization
Contact information
Practice address
420 STATESVILLE BLVD, SALISBURY, NC 28144-2318
(704) 639-9889
Mailing address
PO BOX 1986, SALISBURY, NC 28145-1986
(704) 639-9889
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL080094
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
602058
—
NC
Enumeration date
12/06/2006
Last updated
06/06/2011
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