MEDICARE: SAVVY WELLNESS CENTER, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	C008679	NC

General Provider Information

NPI Number	:	1194124933
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAVVY WELLNESS CENTER, PLLC

Provider Business Mailing Address
First Line	:	1235 EAST BLVD STE E
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28203-5876
Country	:	US
Telephone Number	:	866-736-6408
Fax Number	:	980-225-0506

Provider Business Practice Location Address
First Line	:	1235 EAST BLVD
Second Line	:	SUITE E
City	:	CHARLOTTE
State	:	NC
Zip	:	28203-5876
Country	:	US
Telephone Number	:	866-736-6408
Fax Number	:	980-225-0506

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	KELLY LOUISE CHARLES
Credential	:	MSW, LCSW, CSOTS
Telephone Number	:	866-736-6408

Provider Enumeration Date	:	08/18/2014
Last Update Date	:	10/28/2024

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