MEDICARE: MS. ACCOUNTABILITY TRANSFORMATIONAL GROUP

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1669148706
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MS. ACCOUNTABILITY TRANSFORMATIONAL GROUP

Provider Business Mailing Address
First Line	:	12436 BENDING BRANCH RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28227-3659
Country	:	US
Telephone Number	:	704-345-0613
Fax Number	:

Provider Business Practice Location Address
First Line	:	12436 BENDING BRANCH RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28227-3659
Country	:	US
Telephone Number	:	704-345-0613
Fax Number	:

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	MRS. TERRITA LACHE CHAMBERS
Credential	:	LCMHC
Telephone Number	:	704-345-0613

Provider Enumeration Date	:	08/18/2021
Last Update Date	:	08/18/2021

Similar Medicare Providers

1982724167 — CATHERINE V HOLSTEN OT
Practice Location Address:

2200 WINTER ST
CHARLOTTE, NC
28205-3659

Practice Phone: 704-315-9182
Practice Fax:

1780087387 — OCCUVISION THERAPY SERVICES, PLLC
Practice Location Address:

2200 WINTER ST
CHARLOTTE, NC
28205-3659

Practice Phone: 704-315-9182
Practice Fax:

1700323094 — LIFESPAN INC
Practice Location Address:

7533 FARM GATE DR
CHARLOTTE, NC
28215-3659

Practice Phone: 704-531-8328
Practice Fax:

1467387266 — RENEW PROJECT LLC
Practice Location Address:

12921 LONGSTRAW RD
CHARLOTTE, NC
28227-3687

Practice Phone: 704-506-8064
Practice Fax:

1679408066 — KIRSTYN GIBSON
Practice Location Address:

8509 CROWN CRESCENT CT
CHARLOTTE, NC
28227-7733

Practice Phone: 706-842-5330
Practice Fax: 706-842-5340

1942135264 — CANDICE POLK
Practice Location Address:

2301 CROWNPOINT EXECUTIVE DR UNIT J
CHARLOTTE, NC
28227-7824

Practice Phone: 704-619-7060
Practice Fax:

Directions to “MS. ACCOUNTABILITY TRANSFORMATIONAL GROUP ” 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.