Refreshing Lives Therapy and Consultation Services, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

REFRESHING LIVES THERAPY AND CONSULTATION SERVICES, PLLC

Practice address

7421 Carmel Executive Park Dr Ste 226
Charlotte, NC 28226-0414

Phone

(704) 270-5066

Fax

(980) 422-0166

NPI assigned

Jan 16, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Kievonne King, LCSWNPI 1073877429

Title

Founder

Phone

(704) 270-5066

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kievonne Denise King, LCSW

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1073877429
  NPD (past) Authorized official

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1093289720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 CARMEL EXECUTIVE PARK DR STE 226",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282260414",
            "telephone_number": "704-270-5066",
            "fax_number": "980-422-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 CARMEL EXECUTIVE PARK DR STE 226",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282260414",
            "telephone_number": "704-270-5066",
            "fax_number": "980-422-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFRESHING LIVES THERAPY AND CONSULTATION SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "KIEVONNE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "704-270-5066",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Townsend Reeves, MD
• Megan Cusick Reeves, DPT
• Simone Stephens Reeves, MA,LPC
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• Marie Regalbuto
• Brian Christopher Regan, ANP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.