| NPI | 1972641983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA KAYE LITTLE Nc Qi & Training Dir 704-344-0491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| 103T00000X Psychologist | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TC0700X Psychologist, Clinical | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC1900X Psychologist, Counseling | |
| 103TH0004X Psychologist, Health | |
| 103TS0200X Psychologist, School | |
| 104100000X Social Worker | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2015-01-27 |