# RENEE BEAUREGARD, PLLC

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

## Provider details

- **NPI number:** 1790572303
- **Authorized official:** RENEE BEAUREGARD PMHNP-BC, RN (OWNER)
- **Authorized official phone:** (717) 870-9303

## Contact information

- **Practice address:** 1515 MOCKINGBIRD LN STE 420, CHARLOTTE, NC 28209-3236
- **Practice address phone:** (717) 870-9303
- **Mailing address:** 1515 MOCKINGBIRD LN STE 420, CHARLOTTE, NC 28209-3236
- **Mailing address phone:** (980) 288-5305
- **Mailing address fax:** (980) 260-0350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/24/2025
- **Last updated:** 09/29/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 16125360 | — | NC |