Kelly Elizabeth Mailler in Charlotte - Addiction (substance Use Disorder)

Kelly Elizabeth Mailler - NPI 1790975514

Kelly Elizabeth Mailler is a Addiction (substance Use Disorder) in Charlotte, North Carolina. Kelly Elizabeth Mailler practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kelly Elizabeth Mailler is 1790975514. The last update date is 2020-11-19.

Kelly Elizabeth Mailler's current location address is 515 Clanton Rd, Charlotte, North Carolina. You can contact this provider via phone number 7043329001. The mailing address for Kelly Elizabeth Mailler is 515 Clanton Rd, Charlotte, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Elizabeth Mailler
Address 515 Clanton Rd, Charlotte, North Carolina
Phone Number 7043329001
Fax Number
Sole Proprietor Y
Credentials LCAS-A

NPI Number Detail

NPI Number 1790975514
Provider Enumeration Date 2007-07-27
Last Updated Date 2020-11-19

Provider Mailing Address Detail

Address 515 Clanton Rd
City Charlotte
State North Carolina (NC)
Post Code 282171309
Phone Number 7043329001
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No LCAS-25966
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Kelly Elizabeth Mailler

What is the Kelly Elizabeth Mailler's unique identification number?

The Kelly Elizabeth Mailler has been assigned the NPI (National Provider Identifier) Number 1790975514 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Kelly Elizabeth Mailler is physically located?

The Kelly Elizabeth Mailler is physically situated at the following address: 515 Clanton Rd, Charlotte, NC, 282171309.

What is the Kelly Elizabeth Mailler's specialty and taxonomy code?

The Kelly Elizabeth Mailler's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1790975514 to Kelly Elizabeth Mailler?

The Centers for Medicare & Medicaid Services originally issued the 1790975514 to Kelly Elizabeth Mailler on 2007-07-27.

When was the Kelly Elizabeth Mailler's information last updated?

The Kelly Elizabeth Mailler's information was last updated on 2020-11-19.

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