Healthcare Provider Details

I. General information

NPI: 1326968959
Provider Name (Legal Business Name): HIGH EXPECTATIONS MENTAL HEALTH AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5501 EXECUTIVE CENTER DR STE 221
CHARLOTTE NC
28212-8855
US

IV. Provider business mailing address

5501 EXECUTIVE CENTER DR STE 221
CHARLOTTE NC
28212-8855
US

V. Phone/Fax

Practice location:
  • Phone: 704-345-1711
  • Fax: 704-870-3227
Mailing address:
  • Phone: 704-345-1711
  • Fax: 704-870-3227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. GEORGE ROYAL JR.
Title or Position: CO-OWNER /MANAGING MEMBER
Credential:
Phone: 704-345-1711