GREENE MCILWAINE FOUNDATION NPI 1336928993

NPI Information

  • NPI: 1336928993
  • Provider Name: GREENE MCILWAINE FOUNDATION
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 615 E 6TH ST
    CHARLOTTE, NC
    ZIP 28202
  • Phone: (704) 492-1105

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NPI Details

GREENE MCILWAINE FOUNDATION is a mental health counselor in Charlotte, NC. GREENE MCILWAINE FOUNDATION NPI is 1336928993. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

615 E 6TH ST
CHARLOTTE, NC
ZIP 28202-918
Phone: (704) 492-1105

The provider's authorized official is Latasha Mcilwaine .
The authorized official title is President and has the following contact phone number (704) 340-4666.

The enumeration date for this NPI number is 9/25/2023 and was last updated on 9/25/2023.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101Y00000XCounselorNo
3101YP2500XCounselorProfessionalNo
4101YM0800XCounselorMental 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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