Organization
PEDIATRIC AND FAMILY BEHAVIORAL HEALTH ACQUISITION GROUP PLLC
Active
Other names
Pediatric and Family Behavioral Health PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS EMILIO BETANCOURT MD (PARTNER)
(704) 770-7027
Entity
Organization
Contact information
Practice address
10420 PARK RD STE 300, CHARLOTTE, NC 28210-8502
(980) 237-4766
(980) 404-2274
Mailing address
10440 PARK RD STE 300, CHARLOTTE, NC 28210-8544
(980) 237-4766
(980) 404-2274
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/09/2019
Last updated
03/30/2026
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