| NPI | 1215237516 |
|---|---|
| Former Legal Business Name | CAROLINA'S CREATIVE COUNSELING, PA |
| Entity Type | Organization |
| Authorized Contact | CATHLEEN R HARRIS Owner & CEO 704-332-3634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC MHL-060-1269) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TP0016X Psychologist Prescribing (Medical) (Licence: NC MHL-060-1269) | |
| 251S00000X Community/Behavioral Health | |
| 251S00000X Community/Behavioral Health (Licence: NC MHL-060-1269) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: NC MHL-060-1269) | |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2018-01-11 |