Provider Demographics
NPI:1497347868
Name:AHIMSA COUNSELING AND WELLNESS, PLLC
Entity Type:Organization
Organization Name:AHIMSA COUNSELING AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHANIQUA
Authorized Official - Middle Name:D
Authorized Official - Last Name:REEVES
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:704-728-0153
Mailing Address - Street 1:2544 WEDDINGTON AVE APT 2318
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-1007
Mailing Address - Country:US
Mailing Address - Phone:240-687-1005
Mailing Address - Fax:
Practice Address - Street 1:801 E MOREHEAD ST STE 105
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28202-2730
Practice Address - Country:US
Practice Address - Phone:704-728-0153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-08
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty