MEDICARE: UNAPOLOGETICALLY U COUNSELING & CONSULTING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1083356281
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNAPOLOGETICALLY U COUNSELING & CONSULTING, PLLC

Provider Business Mailing Address
First Line	:	3540 TORINGDON WAY
Second Line	:	STE 200 UNIT #5033
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-4650
Country	:	US
Telephone Number	:	980-819-0467
Fax Number	:	833-339-2796

Provider Business Practice Location Address
First Line	:	13936 DOVEHUNT PL
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-3733
Country	:	US
Telephone Number	:	704-819-0768
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	AMBER O PEARSON BOWEN
Credential	:	LCSW
Telephone Number	:	704-819-0768

Provider Enumeration Date	:	04/08/2022
Last Update Date	:	06/20/2022

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