CLINICIANS OF MECKLENBURG
NPI 1174099436
Counselor - Mental Health in Concord, NC

Active since October 15, 2018
11 UNION ST S # LL207, CONCORD, NC 28025(919) 672-5005 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2022, Oct 15, 2018 (2 updates tracked since 2018).

About Clinicians Of Mecklenburg NPPES

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

CLINICIANS OF MECKLENBURG (NPI 1174099436) is a healthcare organization registered as a mental health in Concord, North Carolina and active in the NPI registry since October 2018. The organization lists Dashun Banks, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174099436
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCLINICIANS OF MECKLENBURG
Location Address11 UNION ST S # LL207Concord, NC 28025-5059
Mailing Address11 Union St S # Ll207Concord, NC 28025-5059 · (919) 672-5005 · Fax (800) 806-0750
Organization SubpartNo
Authorized OfficialDashun BanksCeo · (919) 672-5005
Enumeration DateOctober 15, 2018
Last NPPES UpdateJune 6, 20222 updates tracked since enumeration
NPPES CertifiedJune 6, 2022
NPI 1174099436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · PastoralTaxonomy 101YP1600X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedCounselor · SchoolTaxonomy 101YS0200X
Also ListedPeer SpecialistTaxonomy 175T00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
11 UNION ST S # LL207, Concord, NC 28025

Other Identifiers 1

Medicaid33625NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Counselor
11 UNION ST S # LL207
CONCORD, NC 28025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinicians Of Mecklenburg's NPI number?

The NPI number for Clinicians Of Mecklenburg is 1174099436. It was assigned to this organization in the NPPES registry on October 15, 2018.

Where is Clinicians Of Mecklenburg located?

Clinicians Of Mecklenburg is located at 11 Union St S # Ll207, Concord, NC 28025. The listed phone number is (919) 672-5005.

What is Clinicians Of Mecklenburg's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Clinicians Of Mecklenburg was last updated on June 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.