| Cogburn Counseling & Supervision Pllc | |
|
1316 Plumcrest Dr Charlotte NC 28216-1341 | |
| (704) 266-2087 | |
| Not Available |
| Full Name | Cogburn Counseling & Supervision Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1316 Plumcrest Dr, Charlotte, North Carolina |
| Authorized Official Name and Position | Bethani Cogburn (OWNER/CLINICIAN) |
| Authorized Official Contact | 7042662087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cogburn Counseling & Supervision Pllc 1235 East Blvd Suite E #176 Charlotte NC 28203 Ph: () - | Cogburn Counseling & Supervision Pllc 1316 Plumcrest Dr Charlotte NC 28216-1341 Ph: (704) 266-2087 |
| NPI Number | 1043198583 |
|---|---|
| Provider Enumeration Date | 08/22/2025 |
| Last Update Date | 08/22/2025 |
| Certification Date | 08/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043198583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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