BACK 2 LYFE OUTREACH SERVICES, INC
NPI 1114607637
Community/Behavioral Health in Charlotte, NC

Q: What is Back 2 Lyfe Outreach Services, Inc's NPI number?

The NPI number for Back 2 Lyfe Outreach Services, Inc is 1114607637. It was assigned to this organization in the NPPES registry on July 19, 2023. The provider is doing business as Back 2 Lyfe Outreach Services.

Q: What is Back 2 Lyfe Outreach Services, Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since July 19, 2023

1914 J N PEASE PL, CHARLOTTE, NC 28262(980) 292-3213 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2023, Jul 19, 2023 (2 updates tracked since 2023).

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About Back 2 Lyfe Outreach Services, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BACK 2 LYFE OUTREACH SERVICES, INC (NPI 1114607637), doing business as Back 2 Lyfe Outreach Services, is a healthcare organization registered as a community/behavioral health in Charlotte, North Carolina and active in the NPI registry since July 2023. The organization lists Lashauna April Grier, Program Director, as its authorized official.

NPPES Registry Identity

NPI1114607637

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameBACK 2 LYFE OUTREACH SERVICES, INC

Location Address1914 J N PEASE PLCharlotte, NC 28262-4504

Mailing Address109 Stock LnMooresville, NC 28115-9720 · (980) 292-3213

Phone(980) 292-3213

Organization SubpartNo

Authorized OfficialLashauna April GrierProgram Director · (443) 286-7850

Enumeration DateJuly 19, 2023

Last NPPES UpdateJuly 27, 20232 updates tracked since enumeration

NPPES CertifiedJuly 27, 2023

✔ NPI 1114607637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

1914 J N PEASE PL, Charlotte, NC 28262

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Other Names 1

Doing Business AsBack 2 Lyfe Outreach Services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROHAN VIJAY PATEL M.D.

Pediatrics (Developmental - Behavioral Pediatrics)