Healthcare Provider Details

I. General information

NPI: 1902733538
Provider Name (Legal Business Name): WHOLE CHILD ALLIANCE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 BAINVIEW DR
MINT HILL NC
28227-9797
US

IV. Provider business mailing address

11300 LAWYERS RD STE J
MINT HILL NC
28227-9334
US

V. Phone/Fax

Practice location:
  • Phone: 704-368-2570
  • Fax: 704-312-9217
Mailing address:
  • Phone: 704-368-2570
  • Fax: 704-312-9217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MRS. TYLER LAWRENCE
Title or Position: BCBA/PRACTICE OWNER
Credential: BCBA
Phone: 704-920-9691