Organization
CHARLOTTE LEADERSHIP FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOAN DONETTE CLARK (DIRECTOR/OWNER)
(704) 712-1195
Entity
Organization
Contact information
Practice address
2723 N GRAHAM ST, CHARLOTTE, NC 28206-3531
(704) 931-1196
Mailing address
2723 N GRAHAM ST, CHARLOTTE, NC 28206-3531
(704) 931-1196
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
03/24/2024
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