Organization Active NPI

Conquer Life Restorative Group

  • Social Worker
  • Charlotte, NC
National Provider Identifier
1518881986
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
CONQUER LIFE RESTORATIVE GROUP
Practice address
7671 Petrea LN
Charlotte, NC 28227-1060
Phone
(704) 614-4082
NPI assigned
Aug 7, 2026
Last updated
Aug 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Authorized official

Name
Chaka Mouzon
Title
Social Worker
Phone
(704) 614-4082

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Social Worker 104100000X Primary
Peer Specialist 175T00000X

Addresses

Primary practice location

7671 Petrea LN
Charlotte, NC 28227-1060

Mailing address

7671 Petrea LN
Charlotte, NC 28227-1060

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1786060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1518881986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7671 PETREA LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282271060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7671 PETREA LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282271060",
            "telephone_number": "704-614-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONQUER LIFE RESTORATIVE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-07",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "MOUZON",
        "authorized_official_first_name": "CHAKA",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "704-614-4082"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Aug 7, 2026; 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.