Individual
ELIZABETH BALLANTYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10700 SIKES PL STE 325, CHARLOTTE, NC 28277-8208
(704) 247-7353
Mailing address
515 JORDAN PL UNIT 575, CHARLOTTE, NC 28205-3083
(240) 315-8070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
12/16/2025
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