Organization
EXPERT OF LIVED EXPERIENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERNELL TAMIKA MACKIE CART,CPLC,CDVS,CCTS (OPERATION EXECUTIVE CEO)
(704) 817-8814
Entity
Organization
Contact information
Practice address
8539 MONROE RD # 105, CHARLOTTE, NC 28212-7510
(704) 817-8814
(888) 706-9896
Mailing address
8539 MONROE RD STE 105, CHARLOTTE, NC 28212-7510
(704) 817-8814
(888) 706-9896
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
106S00000X
Behavior Technician
—
—
171400000X
Health & Wellness Coach
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
347C00000X
Private Vehicle
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
376J00000X
Homemaker
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
09/21/2023
Last updated
02/15/2024
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