Healthcare Provider Details

I. General information

NPI: 1285366708
Provider Name (Legal Business Name): HELP I'M HURTING THERAPIES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2022
Last Update Date: 07/05/2022
Certification Date: 07/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5628 HENDERSON OAKS DR
CHARLOTTE NC
28269-1813
US

IV. Provider business mailing address

5628 HENDERSON OAKS DR
CHARLOTTE NC
28269-1813
US

V. Phone/Fax

Practice location:
  • Phone: 704-593-6987
  • Fax:
Mailing address:
  • Phone: 704-593-6987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHANIQUA DAVIS
Title or Position: OWNER/CLINICAL DIRECTOR
Credential:
Phone: 704-593-6987