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Organization
NINE LIVES BEHAVIORAL HEALTH COLLECTIVE PLLC
Active
Organization
NINE LIVES BEHAVIORAL HEALTH COLLECTIVE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA GOODWINE LCMHC, LPC (OWNER/THERAPIST)
(814) 528-1000
Entity
Organization
Contact information
Practice address
405 KINGS CROSSING DR, CHARLOTTE, NC 28206-3870
(814) 528-1000
Mailing address
405 KINGS CROSSING DR, CHARLOTTE, NC 28206-3870
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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