Organization
NEW HEIGHTS BEHAVIORAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAWANDA BOSTIC NP (OWNER)
(704) 641-7475
Entity
Organization
Contact information
Practice address
4929 JEAN GRIMES DR., #304, CHARLOTTE, NC 28269-3061
(704) 641-7475
Mailing address
4929 JEAN GRIMES DR., #304, CHARLOTTE, NC 28269-3061
(704) 641-7475
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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