SearchNorth Carolina225700000X

Kim Brackett, LMBT, NCTMB

NPI 1851535835 · on the registry since 2009 · sole proprietor

Practice

Address
4601 Providence Rd
Charlotte, NC 28226
Phone
(704) 367-0561
Fax
(704) 367-0561

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-04-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina