Healthcare Provider Details

I. General information

NPI: 1043174964
Provider Name (Legal Business Name): DOUBLE BLESSINGS CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 W 4TH ST STE 220
CHARLOTTE NC
28202-1545
US

IV. Provider business mailing address

227 W 4TH ST STE 220
CHARLOTTE NC
28202-1545
US

V. Phone/Fax

Practice location:
  • Phone: 470-488-8843
  • Fax: 470-488-8843
Mailing address:
  • Phone: 470-488-8843
  • Fax: 470-488-8843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: SHATACHA BARBER
Title or Position: OWNER
Credential:
Phone: 470-488-8843