Charlotte Counseling And Consulting, Pllc

LBN: Charlotte Counseling And Consulting, Pllc
Charlotte Counseling And Consulting, Pllc is an health care organization with primary practice located at 1905 J N Pease Pl Ste 202 , Charlotte NC 28262-4539. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Charlotte Counseling And Consulting, Pllc can be contacted via phone (704) 771-4633, or through Funderburg, Jamarr J via phone (704) 771-4633.

Contact Information

Primary practice address
1905 J N Pease Pl Ste 202 Charlotte NC 28262-4539
Phone: (704) 771-4633
Fax: (980) 225-5555
Website:
Map and Directions
Authorized official contact:
Name: Funderburg, Jamarr J LCSW, LCAS, CCS,
Phone: (704) 771-4633

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1184 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C005599 North Carolina
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X C005599 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X C005599 North Carolina
Agencies / Community/Behavioral Health 251S00000X C005599 North Carolina
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1467782177
LBN Legal business name Charlotte Counseling And Consulting, Pllc
DBA Doing business as
Authorized official Funderburg, Jamarr J LCSW, LCAS, CCS,
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2009
Last updated Feb 26th, 2024 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467782177 NPPES
North Carolina MEDICAID 6106615

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