BACK 2 LYFE OUTREACH SERVICES INC NPI 1114607637

NPI Information

  • NPI: 1114607637
  • Provider Name: BACK 2 LYFE OUTREACH SERVICES, INC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 1914 J N PEASE PL
    CHARLOTTE, NC
    ZIP 28262
  • Phone: (980) 292-3213

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NPI Details

BACK 2 LYFE OUTREACH SERVICES, INC is a community behavioral health in Charlotte, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. BACK 2 LYFE OUTREACH SERVICES, INC NPI is 1114607637. The provider is registered as an organization entity type.

The provider's business location address is:

1914 J N PEASE PL
CHARLOTTE, NC
ZIP 28262-504
Phone: (980) 292-3213

The provider's authorized official is Lashauna April Grier .
The authorized official title is Program Director and has the following contact phone number (443) 286-7850.

The enumeration date for this NPI number is 7/19/2023 and was last updated on 7/27/2023.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2251S00000XCommunity/Behavioral HealthYes

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: 11/21/2025

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