MEDICARE: HELP I'M HURTING THERAPIES 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	251S00000X	Community/Behavioral Health Agency
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1285366708
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELP I'M HURTING THERAPIES PLLC

Provider Business Mailing Address
First Line	:	5628 HENDERSON OAKS DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-1813
Country	:	US
Telephone Number	:	704-593-6987
Fax Number	:

Provider Business Practice Location Address
First Line	:	5628 HENDERSON OAKS DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-1813
Country	:	US
Telephone Number	:	704-593-6987
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CLINICAL DIRECTOR
Name	:	SHANIQUA DAVIS
Credential	:
Telephone Number	:	704-593-6987

Provider Enumeration Date	:	06/24/2022
Last Update Date	:	07/05/2022

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