MIRROR 2 THE HEART, PLLC (NPI# 1548615917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548615917 |
| Entity Type | Organization |
| Organization Name | MIRROR 2 THE HEART, PLLC |
| Practice Address |
9700 Research Dr Ste 103 Charlotte NC 28262-8576 |
| Practice Telephone | 9808593331 |
| Practice Fax Number | 8887301933 |
| Mailing Telephone | 9808593331 |
| Mailing Fax Number | 8887301933 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | MRS. STEPHANIE NICHOL BRISCOE (CEO) |
| Authorized Official Telephone | 9808593331 |
| Authorized Official Credential | LCMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 10549 | NC | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
10549 | NC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
10549 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1376968933 | 05 | |
| NC | 1689097701 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MIRROR 2 THE HEART, PLLC | 9700 Research Dr Ste 103, Charlotte, NC 28262-8576 |
| Street Address |
9700 RESEARCH DR STE 103 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28262-8576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669804639 | United Assistance LLC | Community/Behavioral Health | 9700 Research Dr Ste 103, Charlotte, NC 28262-8576 | 2013-08-01 |
| 1689097701 | Stephanie Nichol Briscoe | Counselor | 9700 Research Dr Ste 103, Charlotte, NC 28262-8576 | 2014-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1275161580 | Londyn Homecare Agency L.l.c | Home Health | 1914j.n. Place, Charlotte, NC 28262 | 2020-03-31 |
| 1154964914 | Abundant Love Home Care Service LLC | In Home Supportive Care | 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 | 2019-10-24 |
| 1104399070 | Nattya S Pilgreen | Prosthetist | 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 | 2019-01-03 |
| 1114404506 | Laura Ida Anthony-getant | Social Worker | 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 | 2018-07-27 |
| 1720573587 | Carolinas Center for Ambulatory Dentistry LLC | Dentist | 8415 Medical Plaza Drice, Charlotte, NC 28262 | 2018-06-25 |
| 1598254799 | Cassandra Faye Harding | Nurse Practitioner | 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 | 2018-05-03 |
| 1669960746 | Michael Riley | In Home Supportive Care | 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 | 2018-04-25 |
| 1568989804 | Bridget Coomber | Behavior Technician | 8420 University Executive Dr Ste 810, Charlotte, NC 28262 | 2017-08-28 |
| 1073037701 | Toshana Daley | Physical Therapist | 8801 Jm Keynes Blvd, Charlotte, NC 28262 | 2017-08-03 |
| Find all providers in zip 28262 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962789 | Art of Expression, Pllc | Counselor | 125 Remount Rd Ste C1-1150, Charlotte, NC 28203-6458 | 2020-08-11 |
| 1952925141 | Leanna R Rice | Counselor | 6015 Glendale Chase Ct Apt 302, Charlotte, NC 28217-0077 | 2020-06-03 |
| 1902429772 | Sunshine Care LLC | Counselor | 2108 Ayrsley Town Blvd Unit A, Charlotte, NC 28273-4215 | 2020-05-27 |
| 1194348557 | Immerse & Emerge Counseling | Counselor | 10617 Kettering Dr Ste 113, Charlotte, NC 28226-4900 | 2020-05-20 |
| 1477174464 | Oliver's Contracting, Consulting, & Counseling Services, Pllc | Counselor | 4108 Park Rd Ste 408, Charlotte, NC 28209-2262 | 2020-04-30 |
| 1720619679 | John Wesley Goodwin IIi | Counselor | 5015 Stowe Derby Dr, Charlotte, NC 28278-7377 | 2020-01-30 |
| 1063059731 | Justina Mame Adadewa Ankrah | Counselor | 3001 Buckleigh Dr, Charlotte, NC 28215-7538 | 2019-12-02 |
| 1538704051 | Hattie M Williams | Counselor | 7517 Orr Rd, Charlotte, NC 28213-6544 | 2019-11-07 |
| 1720623390 | Maylee Vazquez | Counselor | 201 Stetson Dr, Charlotte, NC 28262-3364 | 2019-11-07 |
| 1053955468 | Hollis Wilson | Counselor | 6715a Fairview Rd Ste 102, Charlotte, NC 28210-3323 | 2019-10-30 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.