| My Positive Transformation | |
|
1935 J N Pease Pl Ste 201 Charlotte NC 28262-4542 | |
| (704) 237-0881 | |
| Not Available |
| Full Name | My Positive Transformation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1935 J N Pease Pl Ste 201, Charlotte, North Carolina |
| Authorized Official Name and Position | Andrea Denise Dillon-symes (CEO) |
| Authorized Official Contact | 7042370881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Positive Transformation 6945 Northpark Boulevard, Suite L Dpt #6051 Charlotte NC 28216 Ph: (704) 237-0881 | My Positive Transformation 1935 J N Pease Pl Ste 201 Charlotte NC 28262-4542 Ph: (704) 237-0881 |
| NPI Number | 1265071542 |
|---|---|
| Provider Enumeration Date | 01/03/2020 |
| Last Update Date | 08/02/2022 |
| Certification Date | 07/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265071542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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