OrganizationActive
2nd II None Foundation
NPI 1114001088 · Mental Health Counselor · Charlotte, NC
Provider details
- NPI number
- 1114001088
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Authorized official
- Thomas Corbett, Clinical Director
- License
- 6005700 (NC)
Practice location
5820 E Wt Harris Blvd
Suite 111
Charlotte, NC 28215-3541
Phone: (704) 566-6134
Fax: (704) 566-6136
Mailing address
Po Box 480794
Charlotte, NC 28269-5323
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.