| A Place 4 Me, Llc | |
|
3117 Whiting Ave Ste 125 Charlotte NC 28205-1648 | |
| (980) 243-5595 | |
| (980) 245-5595 |
| Full Name | A Place 4 Me, Llc |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 3117 Whiting Ave Ste 125, Charlotte, North Carolina |
| Authorized Official Name and Position | Kelly Lachelle Smith (OWNER) |
| Authorized Official Contact | 5627438166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Place 4 Me, Llc 7410 Niccoline Ln Charlotte NC 28214-8079 Ph: (562) 743-5595 | A Place 4 Me, Llc 3117 Whiting Ave Ste 125 Charlotte NC 28205-1648 Ph: (980) 243-5595 |
| NPI Number | 1306455126 |
|---|---|
| Provider Enumeration Date | 07/28/2020 |
| Last Update Date | 02/26/2024 |
| Certification Date | 02/26/2024 |
| Medicare PECOS PAC ID | 7214477926 |
|---|---|
| Medicare Enrollment ID | O20240909003747 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306455126 | NPI | - | NPPES |
| Provider Name | Kelly Lachelle Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831490903 PECOS PAC ID: 5597010843 Enrollment ID: I20180611000474 |
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