Healthcare Provider Details

I. General information

NPI: 1053286336
Provider Name (Legal Business Name): MTEL & COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2025
Last Update Date: 10/25/2025
Certification Date: 10/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1213 W MOREHEAD ST # 5
CHARLOTTE NC
28208-5576
US

IV. Provider business mailing address

PO BOX 480826
CHARLOTTE NC
28269-5307
US

V. Phone/Fax

Practice location:
  • Phone: 866-894-0910
  • Fax: 704-831-7949
Mailing address:
  • Phone: 866-894-0910
  • Fax: 704-831-7949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MUNEE LOWERY
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 866-894-0910