Provider Demographics
NPI:1790999290
Name:CAROLINAS COUNSELING & CONSULTING, LLC
Entity Type:Organization
Organization Name:CAROLINAS COUNSELING & CONSULTING, LLC
Other - Org Name:JAMES T HARTNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:HARTNESS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:704-825-9998
Mailing Address - Street 1:35 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28012-3155
Mailing Address - Country:US
Mailing Address - Phone:704-825-9998
Mailing Address - Fax:704-825-7735
Practice Address - Street 1:35 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:NC
Practice Address - Zip Code:28012-3155
Practice Address - Country:US
Practice Address - Phone:704-825-9998
Practice Address - Fax:704-825-7735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QM0850X
NCMHL-036-075261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Not Answered261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0151HOtherBCBS