2ND II NONE FOUNDATION NPI 1114001088

NPI Information

NPI: 1114001088
Provider Name: 2ND II NONE FOUNDATION
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
5820 E WT HARRIS BLVD
SUITE 111
CHARLOTTE, NC
ZIP 28215
Phone: (704) 566-6134
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2ND II NONE FOUNDATION is a mental health counselor in Charlotte, NC. 2ND II NONE FOUNDATION NPI is 1114001088. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5820 E WT HARRIS BLVD
SUITE 111
CHARLOTTE, NC
ZIP 28215-541
Phone: (704) 566-6134
Fax: (704) 566-6136

The provider's authorized official is Thomas Scott Corbett .
The authorized official title is Clinical Director and has the following contact phone number (704) 566-6134.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 8/22/2020.

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	101YM0800X	Counselor	Mental Health	6005700	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6005700	MEDICAID	NORTH CAROLINA

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: 5/5/2024

NPI Synchronization or Removal

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