Expert Of Lived Experience Llc

LBN: Expert Of Lived Experience Llc
Expert Of Lived Experience Llc is an health care organization with primary practice located at 8539 Monroe Rd # 105 , Charlotte NC 28212-7510. The organization recently has 11 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist, Agencies / Case Management, Agencies / Community/Behavioral Health, Agencies / Early Intervention Provider Agency, Transportation Services / Private Vehicle, Nursing Service Related Providers / Religious Nonmedical Practitioner, Nursing Service Related Providers / Homemaker, Other Service Providers / Prevention Professional. Agencies / Community/Behavioral Health is the primary health care specialty. Expert Of Lived Experience Llc can be contacted via phone (704) 817-8814, or through Mackie, Vernell Tamika via phone (704) 817-8814.

Contact Information

Primary practice address
8539 Monroe Rd # 105 Charlotte NC 28212-7510
Phone: (704) 817-8814
Fax: (888) 706-9896
Website:
Map and Directions
Authorized official contact:
Name: Mackie, Vernell Tamika CART,CPLC,CDVS,CCTS
Phone: (704) 817-8814

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Peer Specialist 175T00000X
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Early Intervention Provider Agency 252Y00000X
Transportation Services / Private Vehicle 347C00000X
Nursing Service Related Providers / Religious Nonmedical Practitioner 374K00000X
Nursing Service Related Providers / Homemaker 376J00000X
Other Service Providers / Prevention Professional 405300000X

Profile Details

NPI number 1477331213
LBN Legal business name Expert Of Lived Experience Llc
DBA Doing business as
Authorized official Mackie, Vernell Tamika CART,CPLC,CDVS,CCTS
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2023
Last updated Feb 15th, 2024 - about 10 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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