Active NPI
Porcelain Dolls of the Carolinas, Inc
- Community/Behavioral Health Agency
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- PORCELAIN DOLLS OF THE CAROLINAS, INC
- Practice address
- 5835 Executive Center Dr # 101-I
Charlotte, NC 28212 - Phone
- (704) 606-7824
- NPI assigned
- Jul 30, 2018
- 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
- Lisa M Lee
- Title
- Executive Director
- Phone
- (704) 951-5987
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Point of Service | 305S00000X |
Addresses
Primary practice location
5835 Executive Center Dr # 101-I
Charlotte, NC 28212
Mailing address
13000 S Tryon St # F-122
Charlotte, NC 28278-7652
Phone (704) 951-5987
Other names 1
- Porcelain Dolls
National Provider Directory
National Provider DirectoryLocations
5835 Executive Center Dr
#101I
Charlotte, NC 28212
Phone (704) 606-7824
13000 S Tryon St
#F122
Charlotte, NC 28278
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Health & Wellness Coach
- Charlotte, NC
- NPI 1437814233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636070400000",
"number": "1417435710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13000 S TRYON ST # F-122",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282787652",
"telephone_number": "704-951-5987",
"fax_number": "980-219-8444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5835 EXECUTIVE CENTER DR # 101-I",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28212",
"telephone_number": "704-606-7824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORCELAIN DOLLS OF THE CAROLINAS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-30",
"last_updated": "2021-11-05",
"certification_date": "2021-11-05",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "704-951-5987"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Porcelain Dolls",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.