Organization
CHAD HEARST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD HEARST (INDEPENDENT LICENSE SOCIAL WORKER)
(704) 567-0790
Entity
Organization
Contact information
Practice address
5601 EXECUTIVE CENTER DR, 201, CHARLOTTE, NC 28212-8863
(704) 567-0790
(704) 567-8735
Mailing address
5601 EXECUTIVE CENTER DR STE 201, CHARLOTTE, NC 28212-8841
(704) 567-0790
(704) 567-8735
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
P009234
NC
Other
Enumeration date
05/21/2015
Last updated
08/06/2015
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