| Tgreene Consulting & Therapeutic Services | |
|
10130 Mallard Creek Rd Ste 323 Charlotte NC 28262-6000 | |
| (704) 564-8833 | |
| Not Available |
| Full Name | Tgreene Consulting & Therapeutic Services |
|---|---|
| Speciality | Counselor |
| Location | 10130 Mallard Creek Rd Ste 323, Charlotte, North Carolina |
| Authorized Official Name and Position | Tamikia Greene (OWNER) |
| Authorized Official Contact | 7045648833 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tgreene Consulting & Therapeutic Services 10902 Charmont Pl Huntersville NC 28078-1329 Ph: (704) 564-8833 | Tgreene Consulting & Therapeutic Services 10130 Mallard Creek Rd Ste 323 Charlotte NC 28262-6000 Ph: (704) 564-8833 |
| NPI Number | 1073788253 |
|---|---|
| Provider Enumeration Date | 04/28/2008 |
| Last Update Date | 12/10/2024 |
| Certification Date | 12/10/2024 |
| Medicare PECOS PAC ID | 9133654734 |
|---|---|
| Medicare Enrollment ID | O20241209004052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073788253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Tamikia S Greene |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487803904 PECOS PAC ID: 7618160540 Enrollment ID: I20250106003669 |
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