ALYSSA STORM WHITE MS
NPI 1679248736
Counselor - Mental Health in Charlotte, NC
Active since August 11, 2021
About Alyssa Storm White Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALYSSA STORM WHITE MS (NPI 1679248736) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (A16732) and active in the NPI registry since August 2021.
NPPES Registry Identity
NPI1679248736
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameALYSSA STORM WHITECredential: MS
Location Address4012 PARK RD STE 200Charlotte, NC 28209-2378
Mailing Address2830 Berry Creek Rd # 3fCharlotte, NC 28214-3320 · (919) 610-7461
Phone(704) 332-4834
Sole ProprietorNo
Enumeration DateAugust 11, 2021
NPPES CertifiedAugust 11, 2021
✔ NPI 1679248736 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · A16732
4012 PARK RD STE 200, Charlotte, NC 28209
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.
Clinic/Center (Physical Therapy)
4012 PARK RD STE 200
CHARLOTTE, NC 28209
CHARLOTTE, NC 28209
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679248736, enumerated as an "individual" on August 11, 2021.
The provider is located at 4012 PARK RD STE 200 CHARLOTTE, NC 28209 and the phone number is (704) 332-4834.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
