=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518829902
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CORE ESSENTIALS FOR WELLNESS AND BEHAVIORAL HEALTH
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/24/2025
-----------------------------------------------------
Last Update Date | 11/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8501 TOWER POINT DR
-----------------------------------------------------
City | CHARLOTTE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28227-7849
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-886-6056
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8501 TOWER POINT DR
-----------------------------------------------------
City | CHARLOTTE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28227-7849
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-886-6056
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | STAFF PSYCHOLOGIST
-----------------------------------------------------
Name | DR. LASHEKA CHAPPELL
-----------------------------------------------------
Credential | PH.D.
-----------------------------------------------------
Telephone | 919-886-6056
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------