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Organization
NORTH CAROLINA MENTAL HEALTH PROVIDERS AND PROFESSIONALS
Active
Organization
NORTH CAROLINA MENTAL HEALTH PROVIDERS AND PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE LETRICE NESBIT QP (CHIEF CLINICAL OFFICER)
(980) 209-0168
Entity
Organization
Contact information
Practice address
1235 EAST BLVD STE E-4271, CHARLOTTE, NC 28203-5870
(980) 343-9117
Mailing address
1235 EAST BLVD STE E-4272, CHARLOTTE, NC 28203-5870
(980) 209-0168
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/02/2023
Last updated
03/27/2026
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