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Organization

ANOTHER CHANCE PSYCHOTHERAPY AND CONSULTATION SERVICES, LLC

Active
Other names
Another Chance Psychotherapy and Consultation Services, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MARION AMMA LAKE LCSW (OWNER)
(980) 785-1500
Entity
Organization

Contact information

Practice address
5520 KELTONWOOD ROAD, CHARLOTTE, NC 28278
(980) 785-1500
Mailing address
301 S MCDOWELL ST, SUITE 125 #2179, CHARLOTTE, NC 28204
(980) 785-1500

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
01/15/2025
Last updated
01/17/2025
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