Provider Demographics
NPI:1992127260
Name:CALM SEAS FAMILY SERVICES, PLLC
Entity type:Organization
Organization Name:CALM SEAS FAMILY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:MA LMFT
Authorized Official - Phone:704-918-8180
Mailing Address - Street 1:325 MATTHEWS MINT HILL RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-2816
Mailing Address - Country:US
Mailing Address - Phone:704-918-8180
Mailing Address - Fax:
Practice Address - Street 1:325 MATTHEWS MINT HILL RD
Practice Address - Street 2:SUITE 101
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-2816
Practice Address - Country:US
Practice Address - Phone:704-918-8180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-06
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1421106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty