Rebellious Therapy

LBN: Rebellious Therapy
Rebellious Therapy is an health care organization with primary practice located at 9808 Holly Center Dr Apt 204 , Huntersville NC 28078-5112. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Rebellious Therapy can be contacted via phone (704) 290-9780, or through Waldron, Katherine Lee Elizabeth via phone (704) 290-9780.

Contact Information

Primary practice address
9808 Holly Center Dr Apt 204 Huntersville NC 28078-5112
Phone: (704) 290-9780
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Waldron, Katherine Lee Elizabeth M.A, LCMHCA, NCC, CT
Phone: (704) 290-9780

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1821742552
LBN Legal business name Rebellious Therapy
DBA Doing business as
Authorized official Waldron, Katherine Lee Elizabeth M.A, LCMHCA, NCC, CT
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2022
Last updated Mar 15th, 2022 - about 2 years 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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