| Beyond The Mask | |
|
7200 E Wt Harris Blvd Charlotte NC 28215-7200 | |
| (443) 744-0621 | |
| Not Available |
| Full Name | Beyond The Mask |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7200 E Wt Harris Blvd, Charlotte, North Carolina |
| Authorized Official Name and Position | Sharhonda L Ford (OWNER) |
| Authorized Official Contact | 7047410919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond The Mask 11424 Sweetbriar Ridge Dr Charlotte NC 28269-5046 Ph: (704) 741-0919 | Beyond The Mask 7200 E Wt Harris Blvd Charlotte NC 28215-7200 Ph: (443) 744-0621 |
| NPI Number | 1659941359 |
|---|---|
| Provider Enumeration Date | 06/26/2021 |
| Last Update Date | 06/28/2021 |
| Certification Date | 06/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659941359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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