Organization Active NPI

Relaxed Therapy PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mooresville, NC
National Provider Identifier
1194433862
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RELAXED THERAPY PLLC
Practice address
500 S Main St Ste 113
Mooresville, NC 28115-3228
Phone
(704) 224-9506
NPI assigned
Nov 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Authorized official

Name
Mrs. Melody Ann Mattingly, NCC, LCMHC, LCASNPI 1669717831
Title
Owner/Provider
Phone
(704) 224-9506

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

500 S Main St Ste 113
Mooresville, NC 28115-3228

Mailing address

2345 Crescent Rd
Salisbury, NC 28146-0303
Phone (704) 224-9506

Other identifiers 1

IdentifierTypeStateIssuer
19BKWOtherNCBCBSNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1194433862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 CRESCENT RD",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281460303",
            "telephone_number": "704-224-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S MAIN ST STE 113",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281153228",
            "telephone_number": "704-224-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELAXED THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "MATTINGLY",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "704-224-9506",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NCC, LCMHC, LCAS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "19BKW",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.