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Organization
DIFFERENT MHP, PC
Active
Organization
DIFFERENT MHP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIREE MATTHEWS NP (FOUNDER, LEAD CLINICIAN)
(844) 325-4647
Entity
Organization
Contact information
Practice address
5960 FAIRVIEW RD STE 400, CHARLOTTE, NC 28210-3119
(704) 538-4800
Mailing address
5960 FAIRVIEW RD STE 400, CHARLOTTE, NC 28210-3119
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
05/16/2024
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