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MICHAEL WALL
NPI 1417529835
Counselor - Mental Health in Charlotte, NC

Active since July 14, 2021
240 W KINGSTON AVE, CHARLOTTE, NC 28203(704) 998-1390 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael Wall NPPES

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

MICHAEL WALL (NPI 1417529835) is an individual mental health provider in Charlotte, North Carolina and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1417529835
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMICHAEL WALL
Location Address240 W KINGSTON AVECharlotte, NC 28203-4434
Mailing Address240 W Kingston AveCharlotte, NC 28203-4434 · (704) 998-1390
Phone(704) 998-1390
Sole ProprietorYes
Enumeration DateJuly 14, 2021
NPPES CertifiedJuly 14, 2021
✔ NPI 1417529835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
240 W KINGSTON AVE, Charlotte, NC 28203
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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

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 Michael Wall's NPI number?

The NPI number for Michael Wall is 1417529835. It was assigned to this individual provider in the NPPES registry on July 14, 2021.

Where is Michael Wall located?

Michael Wall practices at 240 W Kingston Ave, Charlotte, NC 28203. The listed phone number is (704) 998-1390.

What is Michael Wall'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 Michael Wall was last updated on July 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.