BLISSFULLY SUPPORTED LLC NPI 1255973210

NPI Information

NPI: 1255973210
Provider Name: BLISSFULLY SUPPORTED LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
645 DUNBROOK LN
CHARLOTTE, NC
ZIP 28217
Phone: (980) 474-9219
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BLISSFULLY SUPPORTED LLC is a mental health (including community mental health center) clinic center in Charlotte, NC. BLISSFULLY SUPPORTED LLC NPI is 1255973210. The provider is registered as an organization entity type.

The provider's business location address is:

645 DUNBROOK LN
CHARLOTTE, NC
ZIP 28217-405
Phone: (980) 474-9219

The provider's authorized official is Arteeca Eccles .
The authorized official title is Owner and has the following contact phone number (980) 474-9219.

The enumeration date for this NPI number is 10/11/2019 and was last updated on 10/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	324500000X	Substance Abuse Rehabilitation Facility				No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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