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NPI Code Detail

MEDICARE: NOVARIS BEHAVIORAL HEALTH LLC

MEDICARE: NOVARIS BEHAVIORAL HEALTH LLC
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
1261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1568313070
Entity Type Code : Organization
Provider Name (Legal Business Name) : NOVARIS BEHAVIORAL HEALTH LLC
Provider Business Mailing Address
First Line : 5005 CHESTNUT KNOLL LN
Second Line :
City : CHARLOTTE
State : NC
Zip : 28269-8242
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5005 CHESTNUT KNOLL LN
Second Line :
City : CHARLOTTE
State : NC
Zip : 28269-8242
Country : US
Telephone Number : 704-680-7501
Fax Number :
Authorized Official
Title or Position : CEO
Name : JONATHAN CORRIHER
Credential :
Telephone Number : 704-680-7501
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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