Organization Active NPI

Millenia Health and Wellness

  • Community/Behavioral Health Agency
  • Indian Trail, NC
National Provider Identifier
1144692419
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MILLENIA HEALTH AND WELLNESS
Practice address
4068 Holly Villa Cir
Indian Trail, NC 28079-3726
Phone
(704) 615-7544
NPI assigned
Oct 27, 2015
Last updated
Oct 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Authorized official

Name
Erica N McNeil, MASTERS LEVEL
Title
Mental Health Professional
Phone
(704) 615-7544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4068 Holly Villa Cir
Indian Trail, NC 28079-3726

Mailing address

4068 Holly Villa Cir
Indian Trail, NC 28079-3726
Phone (704) 615-7544

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1144692419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4068 HOLLY VILLA CIR",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280793726",
            "telephone_number": "704-615-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4068 HOLLY VILLA CIR",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280793726",
            "telephone_number": "704-615-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENIA HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "MCNEIL",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MENTAL HEALTH PROFESSIONAL",
        "authorized_official_telephone_number": "704-615-7544",
        "authorized_official_credential": "MASTERS LEVEL"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Trail, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.