# MECKLENBURG COUNTY AREA MENTAL HEALTH AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275603433
- **Authorized official:** MRS. GRAYCE CROCKETT LCSW (AREA DIRECTOR)
- **Authorized official phone:** (704) 336-8638

## Contact information

- **Practice address:** 429 BILLINGSLEY RD, CHARLOTTE, NC 28211-1007
- **Practice address phone:** (704) 336-2023
- **Practice address fax:** (704) 336-8591
- **Mailing address:** 429 BILLINGSLEY RD, CHARLOTTE, NC 28211-1007
- **Mailing address phone:** (704) 336-2023
- **Mailing address fax:** (704) 336-8591

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 08/22/2020