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Individual

MRS. RAHMANA LATISA MOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2015 AYRSLEY TOWN BLVD STE 202, CHARLOTTE, NC 28273-4068
(704) 766-9000
(704) 216-9000
Mailing address
2015 AYRSLEY TOWN BLVD STE 202, CHARLOTTE, NC 28273-4068
(704) 766-9000
(704) 216-9000

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
NC
171W00000X
Contractor
251S00000X
Community/Behavioral Health Agency
Primary
NC
261QD1600X
Developmental Disabilities Clinic/Center
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NC
343900000X
Non-emergency Medical Transport (VAN)
NC
372500000X
Chore Provider
Primary
385H00000X
Respite Care
NC
385HR2050X
Respite Care Camp
NC

Other

Enumeration date
08/18/2025
Last updated
08/07/2026
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