Active NPI
Relaxed Therapy PLLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mooresville, NC
National Provider Identifier
1194433862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
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, LCAS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19BKW | Other | NC | BCBSNC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Salisbury, NC
- NPI 1669717831
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.