Healthcare Provider Details

I. General information

NPI: 1124739644
Provider Name (Legal Business Name): TRUE ASPIRATION COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2022
Last Update Date: 12/06/2022
Certification Date: 12/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8501 TOWER POINT DR # B34
CHARLOTTE NC
28227-7849
US

IV. Provider business mailing address

8501 TOWER POINT DR # B34
CHARLOTTE NC
28227-7849
US

V. Phone/Fax

Practice location:
  • Phone: 980-294-0965
  • Fax: 980-294-0966
Mailing address:
  • Phone: 980-294-0965
  • Fax: 980-294-0966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: CARLOS PROCTOR
Title or Position: CEO
Credential: LCMHC
Phone: 980-294-0965