Carolinas Psychiatry And Behavioral Wellness | |
7825 Ballantyne Commons Pkwy Suite 110 Charlotte NC 28277-3174 | |
(704) 446-8031 | |
(704) 446-8038 |
Full Name | Carolinas Psychiatry And Behavioral Wellness |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 7825 Ballantyne Commons Pkwy, Charlotte, North Carolina |
Authorized Official Name and Position | Thomas Ford Laymon (SVP) |
Authorized Official Contact | 7046310002 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Carolinas Psychiatry And Behavioral Wellness Po Box 601372 Charlotte NC 28260-1372 Ph: (704) 446-8031 | Carolinas Psychiatry And Behavioral Wellness 7825 Ballantyne Commons Pkwy Suite 110 Charlotte NC 28277-3174 Ph: (704) 446-8031 |
NPI Number | 1427303056 |
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Provider Enumeration Date | 07/19/2012 |
Last Update Date | 08/11/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427303056 | NPI | - | NPPES |
5922484 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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