| Carolinas Psychiatry And Behavioral Wellness | |
|
7825 Ballantyne Commons Pkwy Suite A Charlotte NC 28277-3174 | |
| (704) 446-8031 | |
| (704) 446-8038 |
| Full Name | Carolinas Psychiatry And Behavioral Wellness |
|---|---|
| Speciality | Psychologist - Clinical |
| 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 |
|---|---|
| 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 A Charlotte NC 28277-3174 Ph: (704) 446-8031 |
| NPI Number | 1720334204 |
|---|---|
| Provider Enumeration Date | 08/02/2012 |
| Last Update Date | 08/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720334204 | NPI | - | NPPES |
| 6008865 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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