Dna Therapy and Creative Solutions

Primary specialty

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

Legal business name

DNA THERAPY AND CREATIVE SOLUTIONS

Practice address

101 N Tryon Street
Suite 112-#5647
Charlotte, NC 28246

Phone

(704) 936-7365

NPI assigned

Dec 1, 2021

Last updated

Dec 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Nicole Monique Atkinson, LCSW

Title

Owner

Phone

(704) 936-7365

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1265190706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6912 PARK PLACE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624260",
            "telephone_number": "704-936-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N TRYON STREET",
            "address_2": "SUITE 112-#5647",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28246",
            "telephone_number": "704-936-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DNA THERAPY AND CREATIVE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-936-7365",
        "authorized_official_name_prefix": "Ms.",
        "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": []
}

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• Trisha Ann Dmytruk, FNP
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• Michelle DO
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• Suzanne Doad, RD, LDN
• Cuong Tan Doan, MD

• 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 Dec 1, 2021; 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.