Organization
CHARIS COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM KELLEY LONGBOTTOM LCSW (OWNER)
(910) 791-5171
Entity
Organization
Contact information
Practice address
4000 OLEANDER DR STE 202A, WILMINGTON, NC 28403-6846
(910) 791-5171
(910) 791-5777
Mailing address
4000 OLEANDER DR STE 202A, WILMINGTON, NC 28403-6846
(910) 791-5171
(910) 791-5777
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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