Provider Demographics
NPI:1154150837
Name:KARBONA GROUP PRACTICE PLLC
Entity type:Organization
Organization Name:KARBONA GROUP PRACTICE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:919-671-9406
Mailing Address - Street 1:10850 PROVIDENCE RD # 1111
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-2684
Mailing Address - Country:US
Mailing Address - Phone:919-671-9406
Mailing Address - Fax:
Practice Address - Street 1:3020 FAST LN APT 302
Practice Address - Street 2:
Practice Address - City:INDIAN LAND
Practice Address - State:SC
Practice Address - Zip Code:29707-8043
Practice Address - Country:US
Practice Address - Phone:919-671-9406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KARBONA CONSULTING & PRACTICE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty