Concrete Rose Counseling Services PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CONCRETE ROSE COUNSELING SERVICES PLLC

Practice address

10031 Biddick LN # 1052
Huntersville, NC 28078-8705

Phone

(980) 259-1221

NPI assigned

Oct 16, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kyla Harvey, LCSW-A

Title

Owner

Phone

(980) 259-1221

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1619759610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10031 BIDDICK LN # 1052",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280788705",
            "telephone_number": "980-259-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10031 BIDDICK LN # 1052",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280788705",
            "telephone_number": "980-259-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCRETE ROSE COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "KYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-259-1221",
        "authorized_official_credential": "LCSW-A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Neal Colter, D.C.
• Julianne Prettyman Colvin, D.D.S
• Katy Comeaux
• Community Cares Concierge
• Bryn-Marc Conaway, MSAT, LAT, ATC, CSCS
• Beverly McCorkle Conder, NP
• Caroline Conklin
• Coley Elizabeth Connor, COTA/L
• Anthony Connors
• Aaron Lee Conover, PTA

• Mental Health Clinic/Center (Including Community Mental Health Center) in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.