Provider Demographics
NPI:1730732751
Name:QUEEN CITY COUNSELING & CONSULTING, PLLC
Entity type:Organization
Organization Name:QUEEN CITY COUNSELING & CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:GREGOR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:704-457-8222
Mailing Address - Street 1:5950 FAIRVIEW RD STE 150
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-3182
Mailing Address - Country:US
Mailing Address - Phone:704-457-8222
Mailing Address - Fax:
Practice Address - Street 1:5950 FAIRVIEW RD STE 150
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-3182
Practice Address - Country:US
Practice Address - Phone:704-457-8222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-18
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty