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ASCENTIA MIND AND BODY WELLNESS CENTER, PLLC
NPI 1205515566
Nurse Practitioner - Psychiatric/Mental Health in Charlotte, NC

Active since July 14, 2023
1914 J N PEASE PL STE 180&182, CHARLOTTE, NC 28262(704) 909-0302(704) 772-1774 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 28, 2026, Jan 19, 2026, Dec 26, 2025 and 1 more (4 updates tracked since 2023).

About Ascentia Mind And Body Wellness Center, Pllc NPPES

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

ASCENTIA MIND AND BODY WELLNESS CENTER, PLLC (NPI 1205515566) is a healthcare organization registered as a psychiatric/mental health in Charlotte, North Carolina and active in the NPI registry since July 2023. The organization maintains a secondary practice location in Fort Mill and lists Claudette A Green, Pmhnp/clinical Director/owner, as its authorized official.

NPPES Registry Identity

NPI1205515566
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameASCENTIA MIND AND BODY WELLNESS CENTER, PLLC
Location Address1914 J N PEASE PL STE 180&182Charlotte, NC 28262-4504
Mailing Address1914 J N Pease Pl Ste 180&182Charlotte, NC 28262-4504 · (704) 909-0302 · Fax (704) 772-1774
Phone(704) 909-0302
Fax(704) 772-1774
Organization SubpartNo
Authorized OfficialClaudette A GreenPmhnp/clinical Director/owner · (704) 909-0304
Enumeration DateJuly 14, 2023
Last NPPES UpdateApril 28, 20264 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1205515566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1914 J N PEASE PL STE 180&182, Charlotte, NC 28262
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Secondary Practice Location 1

Location 1120 Academy St Ste 102-136Fort Mill, SC 29715-1838 · Phone (704) 909-0304 · Fax (704) 772-1774

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

CLAUDETTE A GREEN NP
Nurse Practitioner (Psychiatric/Mental Health)
1914 J N PEASE PL STE 180&182
CHARLOTTE, NC 28262
Mecklenburg County (704) 909-0304

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 Ascentia Mind And Body Wellness Center, PLLC's NPI number?

The NPI number for Ascentia Mind And Body Wellness Center, PLLC is 1205515566. It was assigned to this organization in the NPPES registry on July 14, 2023.

Where is Ascentia Mind And Body Wellness Center, PLLC located?

Ascentia Mind And Body Wellness Center, PLLC is located at 1914 J N Pease Pl Ste 180&182, Charlotte, NC 28262. The listed phone number is (704) 909-0302.

What is Ascentia Mind And Body Wellness Center, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Ascentia Mind And Body Wellness Center, PLLC was last updated on April 28, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.