Organization
RESTORE MENTAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA GREY-FLEMISTER (THERAPIST)
(704) 550-8414
Entity
Organization
Contact information
Practice address
10130 MALLARD CREEK RD STE 300, CHARLOTTE, NC 28262-6001
(704) 550-8414
Mailing address
10130 MALLARD CREEK RD STE 300, CHARLOTTE, NC 28262-6001
(704) 550-8414
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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