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General NPI Number Information
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NPI Number | 1366231466
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Entity Type | Organization
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Legal Business Name | CHARLOTTE MENTAL HEALTH SERVICES PLLC
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 5950 FAIRVIEW RD STE 619
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City | CHARLOTTE
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State | NC
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Zip | 28210-3175
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Country | US
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Telephone | 704-266-0890
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Fax |
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Provider Business Mailing Address
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Address Line | 5950 FAIRVIEW RD STE 619
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City | CHARLOTTE
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State | NC
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Zip | 28210-3175
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | KATHRYN MONTGOMERY
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Credential |
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Telephone | 704-609-2452
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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