Organization
ASCENTIA MIND AND BODY WELLNESS CENTER, PLLC
Active
Other names
Ascentia Mind and Body Wellness Center PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDETTE A GREEN NP (PMHNP/CLINICAL DIRECTOR/OWNER)
(704) 909-0304
Entity
Organization
Contact information
Practice address
1914 J N PEASE PL STE 180&182, CHARLOTTE, NC 28262-4504
(704) 909-0302
(704) 772-1774
Mailing address
1914 J N PEASE PL STE 180&182, CHARLOTTE, NC 28262-4504
(704) 909-0302
(704) 772-1774
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
04/28/2026
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