Healthcare Provider Details

I. General information

NPI: 1497324867
Provider Name (Legal Business Name): STRATEGIC STRENGTH STUDIO, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2021
Last Update Date: 06/21/2021
Certification Date: 06/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10130 MALLARD CREEK CHURCH RD. SUITE 333
CHARLOTTE NC
28262
US

IV. Provider business mailing address

1213 STELLA COURT
MONROE NC
28110
US

V. Phone/Fax

Practice location:
  • Phone: 203-884-3355
  • Fax:
Mailing address:
  • Phone: 704-219-1180
  • Fax:

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 Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. TEIA COLEMAN
Title or Position: THERAPIST/FOUNDER
Credential: MS, LCMHC
Phone: 203-884-3355