Healthcare Provider Details

I. General information

NPI: 1275029423
Provider Name (Legal Business Name): CHRONIC HEALTH COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2018
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

845 CHURCH ST N STE 208-3
CONCORD NC
28025-4300
US

IV. Provider business mailing address

845 CHURCH ST N STE 208-3
CONCORD NC
28025-4300
US

V. Phone/Fax

Practice location:
  • Phone: 704-517-2106
  • Fax: 855-975-2701
Mailing address:
  • Phone: 704-517-2106
  • Fax: 855-975-2701

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 Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ANGELA ESPIN
Title or Position: CEO
Credential:
Phone: 704-517-2106