ICHEP OF CHARLOTTE, LLC (NPI# 1760710412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760710412 |
| Entity Type | Organization |
| Organization Name | ICHEP OF CHARLOTTE, LLC |
| Practice Address |
9635 Southern Pine Blvd Suite 126 Charlotte NC 28273-5558 |
| Practice Telephone | 7047493808 |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2009-11-18 |
| Authorized Official Name | MR. SHAKA MOUSTAFA (CEO) |
| Authorized Official Telephone | 7047493808 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
9635 SOUTHERN PINE BLVD SUITE 126 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28273-5558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275783078 | Denise Simone Mason | Social Worker | 9635 Southern Pine Blvd, Suite 127, Charlotte, NC 28273-5558 | 2008-09-29 |
| 1528593753 | Solutions for Life; Counseling, Life Coaching, and Consulting Services | Community/Behavioral Health | 9635 Southern Pine Blvd, Suite 122,124, Charlotte, NC 28273-5540 | 2017-04-25 |
| 1699218875 | Tracy Chavonne Setzer | Social Worker | 9635 Southern Pine Blvd, Charlotte, NC 28273-5540 | 2016-11-21 |
| 1952782013 | Tender Loving Care Home Health Care | In Home Supportive Care | 9635 Southern Pine Blvd, Suite # 136, Charlotte, NC 28273-5540 | 2015-06-15 |
| 1568849446 | Essential Assessments and Behavioral Health | Psychologist | 9635 Southern Pine Blvd, Suite 102, Charlotte, NC 28273-5540 | 2015-04-30 |
| 1407244718 | Kristin N. Davis | Marriage & Family Therapist | 9635 Southern Pine Blvd, Ste 101, Charlotte, NC 28273-5540 | 2015-01-08 |
| 1811310329 | Marie C Gladden | Specialist | 9635 Southern Pine Blvd, Ste 154, Charlotte, NC 28273-5558 | 2014-02-04 |
| 1669726600 | Freedom Now Healthcare Services | Nurse Practitioner | 9635 Southern Pine Blvd, 122, Charlotte, NC 28273-5558 | 2012-10-29 |
| 1285905125 | Life Line Connection LLC | Exclusive Provider Organization | 9635 Southern Pine Blvd, Charlotte, NC 28273-5558 | 2012-01-24 |
| 1184955460 | Tiffany Clarissa Huggins | Counselor | 9635 Southern Pine Blvd, Suite 116, Charlotte, NC 28273-5558 | 2010-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588204846 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 2520 Whitehall Park Dr Ste 1000, Charlotte, NC 28273 | 2020-01-14 |
| 1295387637 | Excel Eyecare Od Pa | Optometrist | 14154 Steele Creek Rd, Ste 200, Charlotte, NC 28273 | 2019-07-16 |
| 1992262018 | Katherine Grace Bias | Speech-Language Pathologist | 11709 Freuhaud Dr Ste. 123, Charlotte, NC 28273 | 2019-02-25 |
| 1487111977 | Shanise Danielle Lewis | Respite Care | Top Notch Nurse Staffing & Home Health LLC., 2015 Ayrsley Town Blvd. Suite 202, Charlotte, NC 28273 | 2019-02-21 |
| 1700361953 | Timothy John Hartman | Chiropractor | 2550 West Arrowood Road Suite 104, Charlotte, NC 28273 | 2018-10-03 |
| 1144703141 | Shaquanda King | Behavior Technician | 15528 Baltinglass Ct., Charlotte, NC 28273 | 2018-09-14 |
| 1184106502 | Janelle Gillis | Behavioral Analyst | 13354 Calloway Glen Dr, Charlotte, NC 28273 | 2018-09-01 |
| 1730688680 | Style By Shandy Inc | Specialist | 2106 Arysley Town Blvd, A, Charlotte, NC 28273 | 2018-02-06 |
| 1063945582 | Bpolloni Consulting | Clinical Medical Laboratory | 11709 Fruehauf Drive, Suite 105 & 106, Charlotte, NC 28273 | 2017-04-11 |
| 1770038325 | Kerry Barbera | Dietitian, Registered | 12421 Belmont Mansion Dr, Charlotte, NC 28273 | 2016-08-23 |
| Find all providers in zip 28273 | ||||
| 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.