Mehana Wellness Center PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MEHANA WELLNESS CENTER PLLC

Practice address

907 Matthews School Rd
Matthews, NC 28105-2760

Phone

(704) 492-3147

NPI assigned

Jan 22, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Norena Bernadette Gutierrez, LCMHCANPI 1033815725

Title

Owner/Counselor

Phone

(704) 492-3147

Specialties & licenses 1

Addresses

Other names 1

• Mehana Wellness Center PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Norena Bernadette Gutierrez, LCMHC

  • Mental Health Counselor
  • Matthews, NC
  • NPI 1033815725
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1023879566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 MATTHEWS SCHOOL RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281052760",
            "telephone_number": "704-492-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 MATTHEWS SCHOOL RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281052760",
            "telephone_number": "704-492-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHANA WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "NORENA",
        "authorized_official_middle_name": "BERNADETTE",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "704-492-3147",
        "authorized_official_credential": "LCMHCA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mehana Wellness Center PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ladonna McVay
• Sharnae Simone Mealy
• Mecklenburg Medical Group
• Mecklenburg Medical Group
• Amy Smith Medlin, LCSW
• Bejal Mehta, PHARMD
• Mary Martha Melancon, SLP
• Kifle G Merid, PHARMD
• Michelle Merwin, PHD
• Mesa Management Inc.

• Community/Behavioral Health Agency in Matthews, NC
• Providers in Matthews, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.