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NPI Code Detail

MEDICARE: AGENDA COUNSELING AND WELLNESS PLLC

MEDICARE: AGENDA COUNSELING AND WELLNESS 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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1598619769
Entity Type Code : Organization
Provider Name (Legal Business Name) : AGENDA COUNSELING AND WELLNESS PLLC
Provider Business Mailing Address
First Line : 10130 MALLARD CREEK RD STE 300
Second Line :
City : CHARLOTTE
State : NC
Zip : 28262-6001
Country : US
Telephone Number : 980-272-8167
Fax Number :
Provider Business Practice Location Address
First Line : 10130 MALLARD CREEK RD STE 300
Second Line :
City : CHARLOTTE
State : NC
Zip : 28262-6001
Country : US
Telephone Number : 980-272-8167
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SHAQUIL RASHEED ROBERTS
Credential : LCSW
Telephone Number : 980-272-8167
Provider Enumeration Date : 02/24/2026
Last Update Date : 02/24/2026

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Directions to “AGENDA COUNSELING AND WELLNESS PLLC ” Practice Location

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