Provider Demographics
NPI:1932261997
Name:THE CENTER FOR WELL-BEING & WHOLENESS, P.C.
Entity Type:Organization
Organization Name:THE CENTER FOR WELL-BEING & WHOLENESS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECT OWNER, PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:ELEANOR
Authorized Official - Last Name:LANGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA,LMFT
Authorized Official - Phone:704-527-0760
Mailing Address - Street 1:4726 PARK RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-3278
Mailing Address - Country:US
Mailing Address - Phone:704-527-0760
Mailing Address - Fax:704-527-0887
Practice Address - Street 1:4726 PARK RD
Practice Address - Street 2:SUITE B
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28209-3278
Practice Address - Country:US
Practice Address - Phone:704-527-0760
Practice Address - Fax:704-527-0887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC LMFT 0589106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC135F1OtherBCBSNC