Organization Active NPI

Multidimensional Healing Collective LLC

  • Health & Wellness Coach
  • Charlotte, NC
National Provider Identifier
1497577373
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
MULTIDIMENSIONAL HEALING COLLECTIVE LLC
Practice address
11021 N Commons Dr
Charlotte, NC 28213-3171
Phone
(917) 751-6498
Fax
(347) 342-3962
NPI assigned
Oct 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Kamau Bandele Kokayi, PRACTICE FACILITATORNPI 1659585388
Title
Founder
Phone
(917) 751-6498

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
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X Primary

Addresses

Primary practice location

11021 N Commons Dr
Charlotte, NC 28213-3171

Mailing address

11021 N Commons Dr
Charlotte, NC 28213-3171
Phone (917) 751-6498

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": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1497577373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11021 N COMMONS DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282133171",
            "telephone_number": "917-751-6498",
            "fax_number": "347-342-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11021 N COMMONS DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282133171",
            "telephone_number": "917-751-6498",
            "fax_number": "347-342-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTIDIMENSIONAL HEALING COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "KOKAYI",
        "authorized_official_first_name": "KAMAU",
        "authorized_official_middle_name": "BANDELE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "917-751-6498",
        "authorized_official_credential": "PRACTICE FACILITATOR"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 30, 2024; 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.