Provider Demographics
NPI:1275290124
Name:CALM. COUNSELED. THOUGHTS., PLLC
Entity Type:Organization
Organization Name:CALM. COUNSELED. THOUGHTS., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:EBONY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHCA
Authorized Official - Phone:704-228-6103
Mailing Address - Street 1:516 RIVER HWY STE D246
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-7808
Mailing Address - Country:US
Mailing Address - Phone:704-228-6103
Mailing Address - Fax:
Practice Address - Street 1:516 RIVER HWY STE D246
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-7808
Practice Address - Country:US
Practice Address - Phone:704-228-6103
Practice Address - Fax:704-368-1916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-24
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty