INTEGRATED BEHAVIORAL HEALTH MANAGEMENT NPI 1780033233

NPI Information

NPI: 1780033233
Provider Name: INTEGRATED BEHAVIORAL HEALTH MANAGEMENT
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 34D2173939

Address:
8430 MEDICAL PLAZA DR STE 300
CHARLOTTE, NC
ZIP 28262
Phone: (704) 910-6142
Get Directions

INTEGRATED BEHAVIORAL HEALTH MANAGEMENT is a psychiatric/mental health nurse practitioner in Charlotte, NC. INTEGRATED BEHAVIORAL HEALTH MANAGEMENT NPI is 1780033233. The provider is registered as an organization entity type.

The provider's business location address is:

8430 MEDICAL PLAZA DR STE 300
CHARLOTTE, NC
ZIP 28262-758
Phone: (704) 910-6142
Fax: (980) 422-0106

The provider's authorized official is Maryann Catherine Richardson .
The authorized official title is Director and has the following contact phone number (704) 910-6142.

The CLIA number assigned to this NPI record is 34D2173939 - other - behavioral health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/6/2016 and was last updated on 1/26/2024.

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	251B00000X	Case Management		5004974	NORTH CAROLINA	No
2	261QM0850X	Clinic/Center	Adult Mental Health	5004974	NORTH CAROLINA	No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	5004974	NORTH CAROLINA	No
4	261QP2300X	Clinic/Center	Primary Care	5004974	NORTH CAROLINA	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			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: 4/28/2024

NPI Synchronization or Removal

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