Organization
INNER PEACE COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD O MALLOY LMFT (CLINICAL DIRECTOR)
(704) 937-2286
Entity
Organization
Contact information
Practice address
13420 REESE BLVD W, HUNTERSVILLE, NC 28078-7925
(704) 659-2511
(704) 659-2424
Mailing address
13420 REESE BLVD W, HUNTERSVILLE, NC 28078-7925
(704) 659-2511
(704) 659-2424
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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