Most Relevant Information
Provider Data
NPI Number: | 1003290875 |
Provider Name: | BYRON COLEY |
Entity Type: | Individual |
Taxonomy Code: | 106H00000X |
Specialty: | Marriage & Family Therapist |
License Number: | 1810 |
Most Important Dates
Enumeration Date: | 07/12/2015 |
Last Updated: | 10/18/2018 |
Provider Practice Location
7825 BALLANTYNE COMMONS PKWY
SUITE 110
CHARLOTTE
NC
282773174
Practice Location Phone/Fax
Phone: | 7044460391 |
Fax: |
Provider Mailing Location
7825 BALLANTYNE COMMONS PKWY
CHARLOTTE
NC
282773174
Provider Mailing Phone/Fax
Phone: | |
Fax: |