Provider Demographics
NPI:1780480202
Name:COMBER COUNSELING PLLC
Entity type:Organization
Organization Name:COMBER COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELISE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:COMBER
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:704-251-5257
Mailing Address - Street 1:6135 PARK SOUTH DR STE 130
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-3270
Mailing Address - Country:US
Mailing Address - Phone:704-251-5257
Mailing Address - Fax:980-346-5344
Practice Address - Street 1:6135 PARK SOUTH DR STE 130
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-3270
Practice Address - Country:US
Practice Address - Phone:704-251-5257
Practice Address - Fax:980-346-5344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)