OrganizationActive
Bellflower Lane
NPI 1710056742 · Emotionally Disturbed Childrens' Residential Treatment Facility · Charlotte, NC
Provider details
- NPI number
- 1710056742
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Clarissa Henry, Director Business Development(704) 566-6134
- License
- MHL-060-575 (NC)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense MHL-060-575 (NC)
Residential Treatment Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3124 Milton Rd
Suite 231
Charlotte, NC 28215-5008
Phone: (704) 566-6134
Fax: (704) 566-6136
Street-level locationGet directions
Mailing address
Po Box 480794
Charlotte, NC 28269-5323
Registry dates
- Enumerated
- 2006-11-06
- 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.