# BROADVIEW HEALTH, PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** BROADVIEW HEALTH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316298045
- **Authorized official:** KAREN TREASURE NP (PROVIDER)
- **Authorized official phone:** (704) 544-0050

## Contact information

- **Practice address:** 17232 LANCASTER HWY, CHARLOTTE, NC 28277-2002
- **Practice address phone:** (704) 544-0050
- **Practice address fax:** (704) 544-0050
- **Mailing address:** 349 VENUS ST, MONROE, NC 28112-4025
- **Mailing address phone:** (704) 635-7418
- **Mailing address fax:** (704) 635-7500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | 2009-00832 | NC | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2012
- **Last updated:** 08/26/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1083043913 | — | NC |
| 05 | — | 5921569 | — | NC |