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PROVIDENCE BEHAVIORAL HEALTH PA
NPI 1578835674
Non-Pharmacy Dispensing Site in Charlotte, NC

Active since February 03, 2012
8029 CORPORATE CENTER DR, SUITE 200, CHARLOTTE, NC 28226(704) 543-7574 Get Directions Write a Review

NPPES record last updated: February 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providence Behavioral Health Pa NPPES

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

PROVIDENCE BEHAVIORAL HEALTH PA (NPI 1578835674) is a healthcare organization registered as a non-pharmacy dispensing site in Charlotte, North Carolina and active in the NPI registry since February 2012. The organization lists Preetinder Brar, President, as its authorized official.

NPPES Registry Identity

NPI1578835674
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NamePROVIDENCE BEHAVIORAL HEALTH PA
Location Address8029 CORPORATE CENTER DR, SUITE 200Charlotte, NC 28226-4547
Mailing Address2980 N Beverly Glen Cir, Suite 301Los Angeles, CA 90077-1726 · (310) 474-9809
Phone(704) 543-7574
Organization SubpartYes
Authorized OfficialPreetinder BrarPresident · (704) 543-7574
Enumeration DateFebruary 3, 2012
✔ NPI 1578835674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
8029 CORPORATE CENTER DR, Charlotte, NC 28226
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Other Providers at the Same Location NPPES 5

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

MR. WILLIAM ALVIS SIMS JR. L.C.S.W., M.S.W.
Social Worker (Clinical)
8029 CORPORATE CENTER DR, SUITE 200
CHARLOTTE, NC 28226
Mecklenburg County (704) 336-2669
MR. BRUCE KNIGHT LPCA, LMFTA
Counselor (Professional)
8029 CORPORATE CENTER DR
CHARLOTTE, NC 28226
Mecklenburg County (704) 733-9700
MR. JESSEE SHANE EPPLEY LMFTA
Marriage & Family Therapist
8029 CORPORATE CENTER DR, SUITE 100
CHARLOTTE, NC 28226
Mecklenburg County (615) 218-7276
AMY K BILMANIS
Counselor
8029 CORPORATE CENTER DR
CHARLOTTE, NC 28226
Mecklenburg County (704) 543-7574
JESSICA MCCALL M.S., LMFTA
Marriage & Family Therapist
8029 CORPORATE CENTER DR, SUITE 100
CHARLOTTE, NC 28226
Mecklenburg County (980) 237-3880

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 Providence Behavioral Health PA's NPI number?

The NPI number for Providence Behavioral Health PA is 1578835674. It was assigned to this organization in the NPPES registry on February 3, 2012.

Where is Providence Behavioral Health PA located?

Providence Behavioral Health PA is located at 8029 Corporate Center Dr Suite 200, Charlotte, NC 28226. The listed phone number is (704) 543-7574.

What is Providence Behavioral Health PA's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Providence Behavioral Health PA was last updated on February 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.