Organization · Type 2 NPI

Ascentia Mind and Body Wellness Center, PLLC

Psychiatric/Mental Health Nurse Practitioner · Charlotte, NC

NPI number 1205515566 Active

Practice location

1914 J N Pease Pl Ste 180&182
Charlotte, NC 28262-4504

Call (704) 909-0302 Map

Fax (704) 772-1774

Other practice locations

  • 120 Academy St Ste 102-136, Fort Mill, SC 29715-1838 · (704) 909-0304

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1205515566

Ascentia Mind and Body Wellness Center, PLLC's National Provider Identifier is 1205515566, issued on Jul 14, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Charlotte, NC. The record was last updated on Apr 28, 2026.