Provider Demographics
NPI:1942075593
Name:CHARIS COUNSELING CENTER PLLC
Entity Type:Organization
Organization Name:CHARIS COUNSELING CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:R
Authorized Official - Last Name:POCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:NCLCMHC
Authorized Official - Phone:704-641-0960
Mailing Address - Street 1:5928 CHALYCE LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28270-1717
Mailing Address - Country:US
Mailing Address - Phone:704-641-0960
Mailing Address - Fax:
Practice Address - Street 1:120 GREENWICH RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-2314
Practice Address - Country:US
Practice Address - Phone:704-749-3536
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-22
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty