Healthcare Provider Details

I. General information

NPI: 1013625342
Provider Name (Legal Business Name): HOPEWELL BEHAVIORAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2022
Last Update Date: 02/24/2023
Certification Date: 02/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 S CENTER ST STE 116
STATESVILLE NC
28677-5873
US

IV. Provider business mailing address

PO BOX 334
STATESVILLE NC
28687-0334
US

V. Phone/Fax

Practice location:
  • Phone: 704-325-9654
  • Fax: 704-973-9488
Mailing address:
  • Phone: 704-325-9654
  • Fax: 704-973-9488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: EDWARD CURLEE
Title or Position: OWNER MEMBER
Credential: LCMHC LCAS
Phone: 704-325-9654