Healthcare Provider Details

I. General information

NPI: 1982518908
Provider Name (Legal Business Name): HERB & FLO MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3133 COCHRANE DR
CHARLOTTE NC
28269-4042
US

IV. Provider business mailing address

1235 EAST BLVD STE 346
CHARLOTTE NC
28203-5870
US

V. Phone/Fax

Practice location:
  • Phone: 704-712-5194
  • Fax:
Mailing address:
  • Phone: 704-712-5194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHANCE THOMPKINS
Title or Position: CONSULTANT
Credential:
Phone: 980-228-8027