# ESCAPE MENTORING

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

## Provider details

- **NPI number:** 1356246409
- **Authorized official:** RENE T BREWER LCMHC (OWNER)
- **Authorized official phone:** (704) 495-4379

## Contact information

- **Practice address:** 2404 WILDBURNE CT, CHARLOTTE, NC 28262-9220
- **Practice address phone:** (704) 495-4379
- **Mailing address:** 2404 WILDBURNE CT, CHARLOTTE, NC 28262-9220
- **Mailing address phone:** (704) 495-4379

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |
| 385HR2055X | Child Mental Illness Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 10/09/2026
- **Last updated:** 10/09/2026
