Concrete Roses Life Center
Clinic/Center, Mental Health (Including Community Mental Health Center) in Charlotte, NC. Organization (NPI-2).
NPI number1508360892
StatusActive
Last updated in NPPESSep 2, 2021
Details
- NPI
- 1508360892
- Entity type
- Organization (NPI-2)
- Legal business name
- Concrete Roses Life Center
- Organization subpart
- No
- Enumeration date
- Mar 21, 2018
- Certification date
- Sep 2, 2021
- Last updated
- Sep 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 251B00000X | Case Management | – | – | |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 251V00000X | Voluntary or Charitable | – | – | |
| 261QA0600X | Clinic/Center, Adult Day Care | – | – | |
| 261QD1600X | Clinic/Center, Developmental Disabilities | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | |
| 261QP0904X | Clinic/Center, Public Health, Federal | – | – | |
| 261QP0905X | Clinic/Center, Public Health, State or Local | – | – | |
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | |
| 3245S0500X | Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | – | – | |
| 385HR2050X | Respite Care, Respite Care Camp | – | – | |
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | – | – |
Practice location
5960 Fairview Rd Ste 323Charlotte, NC 28210-3102
Phone 980-263-0991
Mailing address
2040 Randolph Rd Ste ACharlotte, NC 28207-1239
Phone 980-219-8622
Authorized official
Shaukura Mandisa Brown
Ceo
9802630991
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Charlotte, NC
- 3c Wellness, PLLCNPI 1477173201
- 4bettersolutions LLCNPI 1972422509
- Acorn Counseling And Play Therapy, PLLCNPI 1538865746
- Adolaize LLCNPI 1881578425
- Alula Counseling, PLLCNPI 1861347577
- Amelia Giller Counseling PLLCNPI 1962179150
- Apex Performance Psych PLLCNPI 1033013271
- Art Of Care CounselingNPI 1811475569
- Ascend Mental Health Nc LLCNPI 1295639201
- Ashakti Wellness & Yoga PLLCNPI 1891284675
All 99 Mental Health Clinic/Center (Including Community Mental Health Center) providers in Charlotte · All 32,379 providers in Charlotte
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.