MEDICARE: ECHELON CONSULTING INC.

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	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility
2	320800000X	Mental Illness Community Based Residential Treatment Facility	6604323	NC
3	251S00000X	Community/Behavioral Health Agency	6604323	NC

General Provider Information

NPI Number	:	1609022557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ECHELON CONSULTING INC.

Provider Business Mailing Address
First Line	:	7209J E WT HARRIS BLVD STE 207
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28227-1008
Country	:	US
Telephone Number	:	704-594-9119
Fax Number	:	704-594-9119

Provider Business Practice Location Address
First Line	:	1535 PEACHTREE RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28216-1607
Country	:	US
Telephone Number	:	704-594-9119
Fax Number	:	704-594-9119

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	ALEX WRIGHT
Credential	:
Telephone Number	:	704-594-9119

Provider Enumeration Date	:	08/12/2008
Last Update Date	:	05/14/2024

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Directions to “ECHELON CONSULTING INC. ” Practice Location

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