| Changing Famlies & Lives | |
|
8517 Galena View Dr Charlotte NC 28269-7179 | |
| (980) 213-8589 | |
| Not Available |
| Full Name | Changing Famlies & Lives |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8517 Galena View Dr, Charlotte, North Carolina |
| Authorized Official Name and Position | Kathaleen J Gaston (OWNER) |
| Authorized Official Contact | 9802138589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Famlies & Lives 8517 Galena View Dr Charlotte NC 28269-7179 Ph: (980) 213-8589 | Changing Famlies & Lives 8517 Galena View Dr Charlotte NC 28269-7179 Ph: (980) 213-8589 |
| NPI Number | 1538544424 |
|---|---|
| Provider Enumeration Date | 07/21/2015 |
| Last Update Date | 07/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538544424 | NPI | - | NPPES |
| 47-4580700 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 302R00000X | Health Maintenance Organization | (* (Not Available)) | Secondary |
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