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NPI Code Detail

MEDICARE: THE CENTER FOR WELL-BEING & WHOLENESS, P.C.

MEDICARE: THE CENTER FOR WELL-BEING & WHOLENESS, P.C.
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
1106H00000XMarriage & Family TherapistNC LMFT 0589NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1135F1OTHERNCBCBSNC

General Provider Information

NPI Number : 1932261997
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE CENTER FOR WELL-BEING & WHOLENESS, P.C.
Provider Business Mailing Address
First Line : 4726 PARK RD
Second Line : SUITE B
City : CHARLOTTE
State : NC
Zip : 28209-3278
Country : US
Telephone Number : 704-527-0760
Fax Number : 704-527-0887
Provider Business Practice Location Address
First Line : 4726 PARK RD
Second Line : SUITE B
City : CHARLOTTE
State : NC
Zip : 28209-3278
Country : US
Telephone Number : 704-527-0760
Fax Number : 704-527-0887
Authorized Official
Title or Position : DIRECT OWNER, PSYCHOTHERAPIST
Name : MS. EDITH ELEANOR LANGLEY
Credential : M.A.,L.M.F.T.
Telephone Number : 704-527-0760
Provider Enumeration Date : 12/15/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1194927137 — MS. EDITH ELEANOR LANGLEY MA,LMFT
Practice Location Address:
4726 PARK RD , SUITE B
CHARLOTTE, NC
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Practice Phone: 704-527-0760
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1205373081 — MIRANDA LEIGH JONES PA-C
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Directions to “THE CENTER FOR WELL-BEING & WHOLENESS, P.C. ” Practice Location

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