Organization · Type 2 NPI

Providence Psychiatric & Behavioral Health Services, Inc

Psychiatric/Mental Health Nurse Practitioner · Charlotte, NC

NPI number 1669816021 Active

Practice location

4822 Albemarle Rd, Suite 200
Charlotte, NC 28205-6668

Fax (704) 532-5948

Mailing address

PO Box 79254
Charlotte, NC 28271-7061

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X201021 (NC)

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

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About NPI 1669816021

Providence Psychiatric & Behavioral Health Services, Inc's National Provider Identifier is 1669816021, issued on Apr 28, 2013. 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 May 2, 2013.