Healthcare Provider Details

I. General information

NPI: 1104131457
Provider Name (Legal Business Name): PRECIOUS GIFTZ, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2010
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6524 QUARTERBRIDGE LN
CHARLOTTE NC
28262-3572
US

IV. Provider business mailing address

7014 SMITH CORNERS BLVD # 1162
CHARLOTTE NC
28269-3793
US

V. Phone/Fax

Practice location:
  • Phone: 980-201-0005
  • Fax: 980-217-7991
Mailing address:
  • Phone: 980-201-0005
  • Fax: 980-217-7991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LANINIA DEAMER
Title or Position: EXECUTIVE DIRECTOR
Credential: MS,CFPS
Phone: 980-201-0005