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Organization
IREVEAL HEALTH, PLLC
Active
Organization
IREVEAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA AGUNOBI FNP-BC, PMHNP-BC (CEO)
(704) 918-0587
Entity
Organization
Contact information
Practice address
2315 W ARBORS DR STE 3, CHARLOTTE, NC 28262-2577
(704) 751-9077
Mailing address
2315 W ARBORS DR STE 3, CHARLOTTE, NC 28262-2577
(704) 751-9077
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
09/10/2021
Last updated
08/11/2022
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