Healthcare Provider Details

I. General information

NPI: 1477360923
Provider Name (Legal Business Name): GP THERAPY AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2024
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7427 MATTHEWS MINT HILL RD
MINT HILL NC
28227-7862
US

IV. Provider business mailing address

7427 MATTHEWS MINT HILL RD
MINT HILL NC
28227-7862
US

V. Phone/Fax

Practice location:
  • Phone: 980-372-4150
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: GLORIA M PERMISON
Title or Position: OWNER
Credential:
Phone: 980-372-4150