CHARLOTTE CENTER FOR BALANCED LIVING, P.A. (NPI# 1720192107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720192107 |
| Entity Type | Organization |
| Organization Name | CHARLOTTE CENTER FOR BALANCED LIVING, P.A. |
| Practice Address |
2125 Southend Dr Ste 252 Charlotte NC 28203-5081 |
| Mailing Address |
2125 Southend Dr Ste 452 Charlotte NC 28203-5088 |
| Practice Telephone | 7043781390 |
| Practice Fax Number | 7043781392 |
| Mailing Telephone | 7043781390 |
| Mailing Fax Number | 7043781392 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2017-10-16 |
| Authorized Official Name | DR. AMY S COMBS (DIRECTOR) |
| Authorized Official Telephone | 7043781390 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 018C2 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932610177 | Charlotte Center for Balanced Living, P.a. | Psychologist | 5970 Fairview Rd Ste 412, Charlotte, NC 28210-2105 | 2017-10-16 |
| Street Address |
2125 SOUTHEND DR STE 252 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28203-5081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
| 1922636927 | Paulina M Kriska | Dentist | Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-03-27 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1205499316 | James C Winnek | Counselor | 1713 East Blvd., Charlotte, NC 28203 | 2019-04-16 |
| 1487114492 | Laurie Fford Counseling and Consulting Pllc | Counselor | 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 | 2019-03-25 |
| 1184188815 | Sunday Money | Home Health | 2151 Hawkins St., Suite 201, Charlotte, NC 28203 | 2019-01-28 |
| 1164902706 | Lindsay Koonce Helton | Dietitian, Registered | 1218 East Blvd Ste G, Charlotte, NC 28203 | 2018-08-14 |
| 1376057406 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 | 2017-11-28 |
| 1043733306 | Kimberly Stripp | Pharmacist | 1300-b East Blvd, Charlotte, NC 28203 | 2017-07-19 |
| 1427570639 | Caroline Kaleel Fogleman | Optometrist | 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 | 2017-07-10 |
| Find all providers in zip 28203 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767785 | Season of Change, Pllc | Clinic/Center | 933 Louise Ave # 407, Charlotte, NC 28204-2147 | 2020-10-10 |
| 1164038782 | B&g Counseling Services Pllc | Clinic/Center | 11220 Elm Ln Ste 200, Charlotte, NC 28277-0450 | 2020-09-18 |
| 1477166197 | Compass Counseling and Consulting LLC | Clinic/Center | 8411 Habersham Pointe Cir, Charlotte, NC 28226-4792 | 2020-08-24 |
| 1790340172 | Kolb Counseling Group Pllc | Clinic/Center | 6747 Fairview Rd Ste C, Charlotte, NC 28210-3359 | 2019-05-01 |
| 1316400088 | United Primary Diagnostic Center | Clinic/Center | 2103 N Graham St Ste B, Charlotte, NC 28206-2548 | 2019-04-10 |
| 1174093751 | Lineberger Christian Counseling, Pllc | Clinic/Center | 1811 Sardis Road North, Suite 207, Charlotte, NC 28270 | 2018-11-27 |
| 1396225348 | Real Talk Counseling | Clinic/Center | 2128 Mcclintock Rd, Charlotte, NC 28205-5114 | 2018-08-20 |
| 1811475569 | Art of Care Counseling | Clinic/Center | 6338 Shining Rock Ct, Charlotte, NC 28277-0118 | 2018-08-04 |
| 1891284675 | Ashakti Wellness & Yoga LLC | Clinic/Center | 1200 E Morehead St Ste 20d, Charlotte, NC 28204-2872 | 2018-05-07 |
| 1558860239 | Advanced Community Services LLC | Clinic/Center | 4700 Farm Pond Ln, Charlotte, NC 28212-8500 | 2018-02-07 |
| 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.