Charlotte Family Counseling Center, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

C006890 Issued in NC

Legal business name

CHARLOTTE FAMILY COUNSELING CENTER, PLLC

Practice address

1101 Tyvola Rd
Ste 304
Charlotte, NC 28217-3515

Phone

(704) 236-9390

Fax

(803) 693-0701

NPI assigned

Nov 19, 2011

Organization subpart

Yes

Parent organization

CHARLOTTE FAMILY COUNSELING CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Sylvia S Roan, MSSA; LCSW; BCBANPI 1992881312

Title

President

Phone

(704) 236-9390

Specialties & licenses 2

Addresses

Other names 1

• Charlotte Family Counseling Center, LLC Doing business as

Part of

Charlotte Family Counseling Center PLLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sylvia S Roan, L.C.S.W., LISW-CP,

  • Clinical Social Worker
  • Fort Mill, SC
  • NPI 1992881312
  NPD (past) Authorized official

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

{
    "created_epoch": "1321660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321660800000",
    "number": "1669749644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1362 SECRET PATH DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086545",
            "telephone_number": "704-236-9390",
            "fax_number": "803-693-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 TYVOLA RD",
            "address_2": "STE 304",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173515",
            "telephone_number": "704-236-9390",
            "fax_number": "803-693-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE FAMILY COUNSELING CENTER, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLOTTE FAMILY COUNSELING CENTER, LLC",
        "enumeration_date": "2011-11-19",
        "last_updated": "2011-11-19",
        "status": "A",
        "authorized_official_last_name": "ROAN",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-236-9390",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSSA; LCSW; BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C006890",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "9585",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlotte Family Counseling Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Charlotte, NC
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; 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.