=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518844646
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE REFRAMING CENTER PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/20/2025
-----------------------------------------------------
Last Update Date | 08/20/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4504 ALEXANDER VALLEY DR APT 202
-----------------------------------------------------
City | CHARLOTTE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28270-1510
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-705-6102
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4504 ALEXANDER VALLEY DR APT 202
-----------------------------------------------------
City | CHARLOTTE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28270-1510
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-705-6102
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICIAN ASSOCIATE/CONSULTANT
-----------------------------------------------------
Name | MRS. TONYA TERRELL GILBERT
-----------------------------------------------------
Credential | PA-C
-----------------------------------------------------
Telephone | 910-705-6102
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251K00000X
-----------------------------------------------------
Taxonomy Name | Public Health or Welfare Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------