Organization Active NPI

Best Life Mental Health & Wellness PLLC

  • Psychiatry Physician
  • Mooresville, NC
National Provider Identifier
1336726116
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BEST LIFE MENTAL HEALTH & WELLNESS PLLC
Practice address
202 Williamson Rd Ste 204
Mooresville, NC 28117-7610
Phone
(704) 992-7584
Fax
(704) 992-7899
NPI assigned
Mar 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Authorized official

Name
Christopher Bradley, PA
Title
Owner/Provider
Phone
(704) 992-7584

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

202 Williamson Rd Ste 204
Mooresville, NC 28117-7610

Mailing address

202 Williamson Rd Ste 204
Mooresville, NC 28117-7610
Phone (704) 992-7584

National Provider Directory

National Provider Directory

Locations

202 Williamson Rd
Ste 204
Mooresville, NC 28117
Phone (704) 992-7584

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1336726116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 WILLIAMSON RD STE 204",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281177610",
            "telephone_number": "704-992-7584",
            "fax_number": "704-992-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 WILLIAMSON RD STE 204",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281177610",
            "telephone_number": "704-992-7584",
            "fax_number": "704-992-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEST LIFE MENTAL HEALTH & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "704-992-7584",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 16, 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.