Inner Shalom, Pllc
NPI #1922863513 in Locust, North Carolina
Provider Information
- NPI Number
- 1922863513
- Entity Type
- Organization
- Organization Name
- Inner Shalom, Pllc
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Feb 14, 2024
- Last Updated
- Feb 14, 2024
Practice Location
- Address
- 1230 MEADOW CREEK CHURCH RD
- City
- Locust
- State
- North Carolina
- ZIP Code
- 28097-8525
- Phone
- (252) 325-4131
Authorized Official
- Name
- VICTORIA MATA, LCMHCA
- Title
- OWNER, SOLE MEMBER/MANAGER
- Phone
- (252) 325-4131
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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