| Autism Services Of Mecklenburg Co. Inc. | |
|
2223 Executive St Suite E Charlotte NC 28208-3653 | |
| (704) 392-9220 | |
| (704) 392-9221 |
| Full Name | Autism Services Of Mecklenburg Co. Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2223 Executive St, Charlotte, North Carolina |
| Authorized Official Name and Position | Jack Marcellous Phillips (EXECUTIVE DIRECTOR/CEO) |
| Authorized Official Contact | 7043929220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Services Of Mecklenburg Co. Inc. 2211 Executive St Ste A Charlotte NC 28208-3655 Ph: (704) 392-9220 | Autism Services Of Mecklenburg Co. Inc. 2223 Executive St Suite E Charlotte NC 28208-3653 Ph: (704) 392-9220 |
| NPI Number | 1689010753 |
|---|---|
| Provider Enumeration Date | 05/16/2013 |
| Last Update Date | 05/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689010753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-060-1083 (North Carolina) | Primary |
Barbara Kaplan Mhdl Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 East Woodlawn Road, Suite 136, Charlotte, NC 28217 Phone: 704-527-2108 Fax: 704-527-2108 | |
Carolina Care One, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3601 Beaux St, Charlotte, NC 28208 Phone: 704-299-2616 | |
Myers Park Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2435 Umar Ct, Charlotte, NC 28215 Phone: 704-566-0245 | |
Monarch Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 Robinhood Cir, Charlotte, NC 28227 Phone: 704-563-8894 | |
Primary Care Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5601 Executive Center Dr Ste 200, Charlotte, NC 28212 Phone: 704-537-1022 Fax: 704-569-0822 | |
Carawell Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3315 Springbank Ln Ste 302, Charlotte, NC 28226 Phone: 704-288-0314 Fax: 704-288-0310 | |
Healing Pathways Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1931 J N Pease Pl Ste 201, Charlotte, NC 28262 Phone: 980-237-2709 Fax: 704-817-9154 |