Healthcare Provider Details

I. General information

NPI: 1770114589
Provider Name (Legal Business Name): CHARLOTTE WELLBEING INSTITUTE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2020
Last Update Date: 01/19/2024
Certification Date: 01/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8501 TOWER POINT DR STE B14
CHARLOTTE NC
28227-7849
US

IV. Provider business mailing address

1425 HIGHFIELD CT
CHARLOTTE NC
28216-1827
US

V. Phone/Fax

Practice location:
  • Phone: 704-296-8372
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NATALIE MURRAY
Title or Position: OWNER
Credential: LCMHCS
Phone: 704-296-8372