Healthcare Provider Details

I. General information

NPI: 1487585964
Provider Name (Legal Business Name): WESLEY BEHAVIORAL HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 MCCULLOUGH DR STE 380
CHARLOTTE NC
28262-1370
US

IV. Provider business mailing address

201 MCCULLOUGH DR
CHARLOTTE NC
28262-3577
US

V. Phone/Fax

Practice location:
  • Phone: 704-910-3260
  • Fax: 980-422-0336
Mailing address:
  • Phone: 704-910-3260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: RYLEE PIERSON
Title or Position: LCSW-A
Credential:
Phone: 704-910-3260