Organization · Type 2 NPI

Charlotte Family Counseling Center, PLLC

Community/Behavioral Health Agency · Charlotte, NC

NPI number 1669749644 Active

Practice location

1101 Tyvola Rd, Ste 304
Charlotte, NC 28217-3515

Call (704) 236-9390 Map

Fax (803) 693-0701

Mailing address

1362 Secret Path Dr
Fort Mill, SC 29708-6545

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	C006890 (NC)
Community/Behavioral Health Agency	251S00000X	9585 (SC)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

11 other providers at this address

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NPI record

NPI: 1669749644
Entity type: Organization (Type 2)
Issued: Nov 19, 2011
Last updated: Nov 19, 2011
Status: Active
Subpart: Yes of Charlotte Family Counseling Center, LLC

Other names

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Charlotte Family Counseling Center, LLC · doing business as

Authorized official

Mrs. Sylvia S Roan, MSSA; LCSW; BCBA
President
(704) 236-9390

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1669749644

Charlotte Family Counseling Center, PLLC's National Provider Identifier is 1669749644, issued on Nov 19, 2011. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Charlotte, NC. The record was last updated on Nov 19, 2011.