MEDICARE: MENTABLE

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
2	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1609635895
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MENTABLE

Provider Business Mailing Address
First Line	:	8401 MEDICAL PLAZA DR STE 350
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-8700
Country	:	US
Telephone Number	:	877-306-1683
Fax Number	:	980-500-1522

Provider Business Practice Location Address
First Line	:	8401 MEDICAL PLAZA DR STE 350
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-8700
Country	:	US
Telephone Number	:	980-223-4566
Fax Number	:	980-500-1522

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	CAMELLIA DOUGLAS
Credential	:
Telephone Number	:	877-306-1683

Provider Enumeration Date	:	03/18/2024
Last Update Date	:	06/03/2026

Similar Medicare Providers

1114445905 — MRS. CAMELLIA DOUGLAS PMHNP
Practice Location Address:

8401 MEDICAL PLAZA DR STE 350
CHARLOTTE, NC
28262-8700

Practice Phone: 877-306-1683
Practice Fax: 980-500-1522

1891735312 — NOVANT HEALTH MEDICAL GROUP, LLC
Practice Location Address:

8401 MEDICAL PLAZA DR , SUITE 220
CHARLOTTE, NC
28262-8700

Practice Phone: 704-384-1570
Practice Fax: 704-384-1534

1093759136 — NOVANT HEALTH MEDICAL GROUP, LLC
Practice Location Address:

8401 MEDICAL PLAZA DR , SUITE 250
CHARLOTTE, NC
28262-8700

Practice Phone: 704-384-1500
Practice Fax: 704-384-1525

1932276326 — DR. JASMINE SINGH MD
Practice Location Address:

8401 MEDICAL PLAZA DR STE 250
CHARLOTTE, NC
28262-8700

Practice Phone: 704-384-1500
Practice Fax: 704-384-1525

1386832996 — APRIL WARWICK MORRIS
Practice Location Address:

8401 MEDICAL PLAZA DR STE 360
CHARLOTTE, NC
28262-8700

Practice Phone: 42-084-4587
Practice Fax: 866-309-6385

1528305588 — DR. RYAN ROBERT ADAMCZYK PH.D., LPC
Practice Location Address:

8401 MEDICAL PLAZA DR STE 360
CHARLOTTE, NC
28262-8700

Practice Phone: 704-208-4458
Practice Fax:

Directions to “MENTABLE ” Practice Location

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