Nancy B. Polen, LMFT
Marriage & Family Therapist in Charlotte, NC. Individual provider (NPI-1).
NPI number1619020344
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1619020344
- Entity type
- Individual (NPI-1)
- Name
- Ms. Nancy B. Polen
- Credential
- LMFT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 18, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | NC857 | NC | Yes |
Practice location
11239 Villa Trace PlCharlotte, NC 28277-1711
Phone 704-540-6317
Mailing address
11239 Villa Trace PlCharlotte, NC 28277-1711
Phone 704-540-6317
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