# THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
- **Other names:** Atrium Health Addiction Services Charlotte, Atrium Health Behavioral Health Interventional & Neurocognitive Psy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1922563923
- **Legal business name:** THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
- **Authorized official:** SCOTT RISSMILLER (ENTERPRISE EVP)
- **Authorized official phone:** (704) 355-8675

## Contact information

- **Practice address:** 447 BILLINGSLEY RD, COTTAGE A, CHARLOTTE, NC 28211
- **Practice address phone:** (704) 444-2400
- **Mailing address:** PO BOX 19305, CHARLOTTE, NC 28219-9305
- **Mailing address phone:** (704) 631-0002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | — |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 02/04/2019
- **Last updated:** 03/13/2023