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General NPI Number Information
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NPI Number | 1932261997
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Entity Type | Organization
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Legal Business Name | THE CENTER FOR WELL-BEING & WHOLENESS, P.C.
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4726 PARK RD SUITE B
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City | CHARLOTTE
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State | NC
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Zip | 28209-3278
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Country | US
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Telephone | 704-527-0760
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Fax | 704-527-0887
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Provider Business Mailing Address
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Address Line | 4726 PARK RD SUITE B
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City | CHARLOTTE
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State | NC
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Zip | 28209-3278
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Country | US
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Telephone | 704-527-0760
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Fax | 704-527-0887
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Authorized Official
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Title or Position | DIRECT OWNER, PSYCHOTHERAPIST
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Name | MS. EDITH ELEANOR LANGLEY
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Credential | M.A.,L.M.F.T.
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Telephone | 704-527-0760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | NC LMFT 0589
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License Number State | NC
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