EDH1 LLC
NPI 1942862552
Psychologist - Clinical in Charlotte, NC

Active since July 03, 2019
9027 TIBBLE CREEK WAY, CHARLOTTE, NC 28227(980) 297-0703 Get Directions Write a Review

NPPES record last updated: July 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edh1 Llc NPPES

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

EDH1 LLC (NPI 1942862552) is a healthcare organization registered as a clinical in Charlotte, North Carolina and active in the NPI registry since July 2019. The organization lists Elston Derrek Hooper, Owner, as its authorized official.

NPPES Registry Identity

NPI1942862552
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameEDH1 LLC
Location Address9027 TIBBLE CREEK WAYCharlotte, NC 28227-6670
Mailing Address9027 Tibble Creek WayCharlotte, NC 28227-6670 · (980) 297-0703
Organization SubpartNo
Authorized OfficialElston Derrek HooperOwner · (980) 297-0703
Enumeration DateJuly 3, 2019
NPI 1942862552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X
Also ListedExclusive Provider OrganizationTaxonomy 302F00000X
9027 TIBBLE CREEK WAY, Charlotte, NC 28227

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 MULTIPLE SINGLE 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 Edh1 LLC's NPI number?

The NPI number for Edh1 LLC is 1942862552. It was assigned to this organization in the NPPES registry on July 3, 2019.

Where is Edh1 LLC located?

Edh1 LLC is located at 9027 Tibble Creek Way, Charlotte, NC 28227. The listed phone number is (980) 297-0703.

What is Edh1 LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Edh1 LLC was last updated on July 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.