Healthcare Provider Details

I. General information

NPI: 1154236529
Provider Name (Legal Business Name): BONVEE BEHAVIORAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4913 ALBEMARLE RD STE 102A
CHARLOTTE NC
28205-6617
US

IV. Provider business mailing address

4913 ALBEMARLE RD STE 102A
CHARLOTTE NC
28205-6617
US

V. Phone/Fax

Practice location:
  • Phone: 704-371-1489
  • Fax:
Mailing address:
  • Phone: 704-371-1489
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHIDINMA OLIGBO
Title or Position: OWNER
Credential:
Phone: 704-371-1489