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NPI Code Detail

MEDICARE: CAROLINA'S CREATIVE COUNSELING, PA

MEDICARE: CAROLINA'S CREATIVE COUNSELING, PA
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
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114156163
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAROLINA'S CREATIVE COUNSELING, PA
Provider Business Mailing Address
First Line : 3126 MILTON RD STE T231
Second Line :
City : CHARLOTTE
State : NC
Zip : 28215-3778
Country : US
Telephone Number : 704-332-3634
Fax Number : 704-332-1801
Provider Business Practice Location Address
First Line : 3126 MILTON RD STE T231
Second Line :
City : CHARLOTTE
State : NC
Zip : 28215-3778
Country : US
Telephone Number : 704-332-3634
Fax Number : 704-332-1801
Authorized Official
Title or Position : OWNER
Name : CORTNEY C STEWART
Credential :
Telephone Number : 216-438-3349
Provider Enumeration Date : 07/13/2009
Last Update Date : 10/21/2025

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Directions to “CAROLINA'S CREATIVE COUNSELING, PA ” Practice Location

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