MEDICARE: JAVAUGHN SUBER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	101YS0200X	School Counselor

General Provider Information

NPI Number	:	1558174508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAVAUGHN SUBER

Provider Business Mailing Address
First Line	:	6232 PINE CANOPY DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-4208
Country	:	US
Telephone Number	:	202-421-9178
Fax Number	:

Provider Business Practice Location Address
First Line	:	6232 PINE CANOPY DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-4208
Country	:	US
Telephone Number	:	202-421-9178
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2025
Last Update Date	:	01/31/2025

Similar Medicare Providers

1336484575 — KATHLEEN MARY DOUGHERTY CCC-SLP
Practice Location Address:

4208 ALDERSHOT CT , APT. E
CHARLOTTE, NC
28211-5092

Practice Phone: 704-258-1724
Practice Fax:

1437083938 — JANUS RX LLC
Practice Location Address:

8823 UNIVERSITY EAST DR STE 200
CHARLOTTE, NC
28213-4208

Practice Phone: 334-819-4500
Practice Fax:

1255606596 — DR. MICHAEL D BALDINGER OD
Practice Location Address:

1208 SOUTH BLVD
CHARLOTTE, NC
28203-4208

Practice Phone: 704-392-2020
Practice Fax: 704-399-8029

1467385484 — STEPHANIE POSEY-ARMSTRONG
Practice Location Address:

11518 LEIGH GLEN CIR
CHARLOTTE, NC
28269-3172

Practice Phone: 917-744-1989
Practice Fax: 917-744-1989

1336073170 — SAFE SPACE IN-HOME SUPPORT LLC
Practice Location Address:

6204 HARBURN FOREST DR
CHARLOTTE, NC
28269-6902

Practice Phone: 704-287-2252
Practice Fax:

1023334174 — MRS. T'HALESE MARIE STEEN LCSWA
Practice Location Address:

1011 SKIPJACK LN
CHARLOTTE, NC
28269-4899

Practice Phone: 313-283-9261
Practice Fax:

Directions to “ JAVAUGHN SUBER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.