Monique Moreno Aquino, LMFTA

Individual provider Active NPI Marriage & Family Therapist · Charlotte, NC

NPI 1669944427 · NPPES record last updated Jul 23, 2019

Key facts

NPI
1669944427
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
11080A (NC)
Practice address
1118 Skyview Rd
Charlotte, NC 28208-6249
Phone
(704) 975-4627
NPI assigned
Dec 18, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11080ANCMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 11080A NC Yes

Addresses

Primary practice location

1118 Skyview Rd
Charlotte, NC 28208-6249

Mailing address

1118 Skyview Rd
Charlotte, NC 28208-6249
Phone (704) 975-4627

Other providers in Charlotte, NC

All providers in Charlotte, NC · Marriage & Family Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.