Base, Pllc
Psychologist · Charlotte, NC
At a glance
1515 Mockingbird Ln Ste 580, Charlotte, NC 28209-3236
NPPES record updated Aug 6, 2019. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
- Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.
Practice location
1515 Mockingbird Ln Ste 580Charlotte, NC 28209-3236
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Psychologist
- Taxonomy code
- 103T00000X
- Enumeration date
- Mar 23, 2018
- Record updated
- Aug 6, 2019
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Mental Health Counselor
101YM0800X
Psychologist
103T00000X · Primary
Specialty details in registry
103TB0200X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1515 Mockingbird Ln Ste 580Charlotte, NC 28209-3236
- Phone
- (704) 910-8381
- Fax
- (704) 981-8282
Mailing address
1515 MOCKINGBIRD LN STE 580CHARLOTTE, NC 282093236
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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