Healthcare Provider Details
I. General information
NPI: 1669170445
Provider Name (Legal Business Name): BMH CONNECT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/21/2023
Last Update Date: 02/21/2023
Certification Date: 02/21/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1816 E 7TH ST
CHARLOTTE NC
28204-2416
US
IV. Provider business mailing address
1816 E 7TH ST
CHARLOTTE NC
28204-2416
US
V. Phone/Fax
- Phone: 704-780-4977
- Fax:
- Phone: 704-780-4977
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
APRIL
DUNCAN
Title or Position: FOUNDER & CEO
Credential: LCSW, RPT-S
Phone: 704-780-4977