Organization · Type 2 NPI

Impact Carolina Services, Inc

Psychiatry Physician · Charlotte, NC

NPI number 1619285756 Active

Practice location

2848 Queen City Dr Ste G
Charlotte, NC 28208-2739

Fax (704) 405-1619

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X795 (NC)
Professional Counselor 101YP2500X5171 (NC)
Clinical Social Worker 1041C0700XC001664 (NC)
Psychiatry Physician Primary 2084P0800XNC 2005-00391 (NC)
Adult Health Nurse Practitioner 363LA2200X0600071 (NC)

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

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About NPI 1619285756

Impact Carolina Services, Inc's National Provider Identifier is 1619285756, issued on Sep 23, 2010. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Charlotte, NC. The record was last updated on Sep 23, 2010.