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ECHELON CONSULTING INC NPI 1760506919


NPI Information

NPI: 1760506919
Provider Name: ECHELON CONSULTING INC

Former Legal Business Name: ECHELON CARE

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 34D2031048

Address:
4508 CARRIAGE DRIVE CIR
CHARLOTTE, NC
ZIP 28205
Phone: (704) 594-9119
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ECHELON CONSULTING 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. ECHELON CONSULTING INC NPI is 1760506919. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Echelon Care.

The provider's business location address is:

4508 CARRIAGE DRIVE CIR
CHARLOTTE, NC
ZIP 28205
Phone: (704) 594-9119
Fax: (704) 594-9915

The provider's authorized official is Alex Wright .
The authorized official title is President Owner and has the following contact phone number (704) 594-9119.

The CLIA number assigned to this NPI record is 34D2031048 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 5/12/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children060959NORTH CAROLINANo
2101YM0800XCounselorMental HealthMHL060959NORTH CAROLINANo
3320800000XCommunity Based Residential Treatment Facility, Mental Illness6603878NORTH CAROLINANo
4251S00000XCommunity/Behavioral Health6603878NORTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16603878MEDICARE PINNORTH 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: 11/14/2023

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