| Solari Mental And Behavioral Health Services | |
|
5500 Executive Center Dr Ste 235 Charlotte NC 28212-8821 | |
| (704) 936-0200 | |
| (704) 936-0226 |
| Full Name | Solari Mental And Behavioral Health Services |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 5500 Executive Center Dr Ste 235, Charlotte, North Carolina |
| Authorized Official Name and Position | Carol Elizabeth Cameron-matthews (PRESIDENT AND CEO) |
| Authorized Official Contact | 7049360200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Solari Mental And Behavioral Health Services 5500 Executive Center Dr Ste 235 Charlotte NC 28212-8821 Ph: (704) 936-0200 | Solari Mental And Behavioral Health Services 5500 Executive Center Dr Ste 235 Charlotte NC 28212-8821 Ph: (704) 936-0200 |
| NPI Number | 1902411499 |
|---|---|
| Provider Enumeration Date | 09/10/2020 |
| Last Update Date | 07/21/2024 |
| Certification Date | 07/21/2024 |
| Medicare PECOS PAC ID | 0941612717 |
|---|---|
| Medicare Enrollment ID | O20201219000171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902411499 | NPI | - | NPPES |
| 1326541574 | Medicaid | NC | |
| 1902411499 | Other | NC | MENTAL HEALTH |
| Provider Name | Harley Wakeman Smoot |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316918493 PECOS PAC ID: 2264689637 Enrollment ID: I20120904000149 |
| Provider Name | Carol Cameron - Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326541574 PECOS PAC ID: 3173876646 Enrollment ID: I20181030003020 |
| Provider Name | Rohan Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265143721 PECOS PAC ID: 5395105704 Enrollment ID: I20230717003740 |
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