| North Carolina Mental Health Providers And Professionals | |
|
1235 East Blvd Ste E-1272 Charlotte NC 28203-5870 | |
| (980) 343-9117 | |
| Not Available |
| Full Name | North Carolina Mental Health Providers And Professionals |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1235 East Blvd Ste E-1272, Charlotte, North Carolina |
| Authorized Official Name and Position | Dominique Letrice Nesbit (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 9807297907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Carolina Mental Health Providers And Professionals 1235 East Blvd Ste E-1272 Charlotte NC 28203-5870 Ph: (919) 343-9117 | North Carolina Mental Health Providers And Professionals 1235 East Blvd Ste E-1272 Charlotte NC 28203-5870 Ph: (980) 343-9117 |
| NPI Number | 1336912245 |
|---|---|
| Provider Enumeration Date | 11/02/2023 |
| Last Update Date | 10/03/2024 |
| Certification Date | 10/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336912245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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