Organization
CHARLOTTE CENTER FOR BALANCED LIVING, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY S COMBS PSY.D. (DIRECTOR)
(704) 378-1390
Entity
Organization
Contact information
Practice address
2125 SOUTHEND DR STE 252, CHARLOTTE, NC 28203-5081
(704) 378-1390
(704) 378-1392
Mailing address
2125 SOUTHEND DR STE 452, CHARLOTTE, NC 28203-5088
(704) 378-1390
(704) 378-1392
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018C2
BCBS
NC
Enumeration date
08/19/2006
Last updated
10/16/2017
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