Organization
RAISING RESILIENCE COUNSELING SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY THOMPSON LCMHC (CO-OWNER)
(980) 477-5289
Entity
Organization
Contact information
Practice address
10130 PERIMETER PKWY STE 200, CHARLOTTE, NC 28216-0197
(980) 477-5289
Mailing address
PO BOX 189044, CHARLOTTE, NC 28218-9044
(908) 477-5289
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164811667
—
NC
05
—
1487031696
—
NC
Enumeration date
03/15/2021
Last updated
03/15/2021
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