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General NPI Number Information
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NPI Number | 1932794492
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Entity Type | Organization
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Legal Business Name | A CENTER FOR BALANCING THOUGHTS, PLLC
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Dates
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Enumeration Date | 03/07/2021
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Last Update Date | 03/07/2021
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Provider Practice Location Address
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Address Line | 4651 CHARLOTTE PARK DR STE 101C
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City | CHARLOTTE
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State | NC
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Zip | 28217-1916
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Country | US
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Telephone | 704-251-5146
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Fax | 844-331-1422
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Provider Business Mailing Address
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Address Line | 4651 CHARLOTTE PARK DR STE 101C
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City | CHARLOTTE
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State | NC
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Zip | 28217-1916
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Country | US
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Telephone | 704-251-5146
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Fax | 844-331-1422
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Authorized Official
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Title or Position | CLINICAL DIRECTOR/ OWNER
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Name | ANTRANIQUE R NEBLETT
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Credential | MSW, LCSW
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Telephone | 704-251-5146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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