THERAPUTIC REMEDY NPI 1265861082

NPI Information

  • NPI: 1265861082
  • Provider Name: THERAPUTIC REMEDY
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 5009 BEATTIES FORD RD
    SUITE 107-371
    CHARLOTTE, NC
    ZIP 28216
  • Phone: (704) 651-8097

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NPI Details

THERAPUTIC REMEDY is a mental health counselor in Charlotte, NC. THERAPUTIC REMEDY NPI is 1265861082. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5009 BEATTIES FORD RD
SUITE 107-371
CHARLOTTE, NC
ZIP 28216-859
Phone: (704) 651-8097

The provider's authorized official is Derek Wilson .
The authorized official title is Owner and has the following contact phone number (704) 651-8097.

The enumeration date for this NPI number is 11/2/2013 and was last updated on 11/6/2013.

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
1101YM0800XCounselorMental 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

NPI Synchronization or Removal

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