Organization
SOUTHEASTPSYCH BALLANTYNE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN ARROWOOD AMRHEIN (DIRECTOR OF FINANCE)
(704) 552-0116
Entity
Organization
Contact information
Practice address
15720 BRIXHAM HILL AVE STE 150, CHARLOTTE, NC 28277-4785
(704) 970-4791
(704) 970-4794
Mailing address
15720 BRIXHAM HILL AVE STE 150, CHARLOTTE, NC 28277-4785
(704) 970-4791
(704) 970-4794
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/26/2017
Last updated
12/04/2023
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