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Organization
ASCENTIA MIND AND BODY WELLNESS CENTER, PLLC
Active
Organization
ASCENTIA MIND AND BODY WELLNESS CENTER, PLLC
Active
Other names
Ascentia Mind and Body Wellness Center PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDETTE A GREEN NP (PMHNP/CLINICAL DIRECTOR/OWNER)
(704) 909-0304
Entity
Organization
Contact information
Practice address
1914 J N PEASE PL STE 180&182, CHARLOTTE, NC 28262-4504
(704) 909-0302
(704) 772-1774
Mailing address
1914 J N PEASE PL STE 180&182, CHARLOTTE, NC 28262-4504
(704) 909-0302
(704) 772-1774
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
04/28/2026
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