Provider Demographics
NPI:1720488117
Name:EURE, CHARLOTTE MARIE (LPCA)
Entity Type:Individual
Prefix:MRS
First Name:CHARLOTTE
Middle Name:MARIE
Last Name:EURE
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 COPPERFIELD BLVD
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025
Mailing Address - Country:US
Mailing Address - Phone:704-721-0000
Mailing Address - Fax:704-973-7835
Practice Address - Street 1:900 COPPERFIELD BLVD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025
Practice Address - Country:US
Practice Address - Phone:704-721-0000
Practice Address - Fax:704-973-7835
Is Sole Proprietor?:No
Enumeration Date:2014-09-04
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA10691101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional