Healthcare Provider Details

I. General information

NPI: 1912633595
Provider Name (Legal Business Name): FIROZ MOSES UGANGCE LCSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2022
Last Update Date: 05/31/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 UNION ST S STE 200
CONCORD NC
28025-5098
US

IV. Provider business mailing address

11 UNION ST S STE 200
CONCORD NC
28025-5098
US

V. Phone/Fax

Practice location:
  • Phone: 704-918-9741
  • Fax: 704-270-6213
Mailing address:
  • Phone: 704-918-8741
  • Fax: 704-270-6213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP020472
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: