Whalio Doctors

NPI 1457768988

Life Flow Youth & Family Counseling

Organisation Health Maintenance Organization Charlotte, NC

Practice location

Address
11300 Walland Ln, Charlotte, NC 28273-4596
Phone
(704) 454-8027
Mailing address
11300 Walland Lane, Charlotte, NC 28273

Authorised official

Name
Sunshurae L Burris
Title
Owner
Phone
(704) 454-8027

Registered specialties

Health Maintenance Organization Primary
Managed Care Organizations Taxonomy 302R00000X

Registry record

NPI
1457768988
Entity type
Organization
NPI issued
16 Jul 2014
Record last updated
16 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.