Organization · Type 2 NPI

New Name Born LLC

Peer Specialist · Charlotte, NC

NPI number 1114764420 Active

Practice location

11124 Front Porch Ave Apt 21107
Charlotte, NC 28227-0049

Call (704) 777-5710 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1114764420

New Name Born LLC's National Provider Identifier is 1114764420, issued on Jul 12, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 31, 2024.