Ichep of Charlotte, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ICHEP OF CHARLOTTE, LLC

Practice address

9635 Southern Pine Blvd
Suite 126
Charlotte, NC 28273-5558

Phone

(704) 749-3808

NPI assigned

Nov 18, 2009

Last updated

Nov 18, 2009By 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

Mr. Shaka Moustafa

Title

Ceo

Phone

(704) 749-3808

Specialties & licenses 1

Addresses

Tax ID family

Ichep of Charlotte LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ichep,LLC

  dba International Consultant for Health and Educational Psychology

  • Psychiatric Hospital
  • Columbia, SC
  • NPI 1225290109
  NPD tax ID

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1760710412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9635 SOUTHERN PINE BLVD",
            "address_2": "SUITE 126",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9635 SOUTHERN PINE BLVD",
            "address_2": "SUITE 126",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735558",
            "telephone_number": "704-749-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICHEP OF CHARLOTTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "MOUSTAFA",
        "authorized_official_first_name": "SHAKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-749-3808",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shania Ibrahim, OTD, OTR/L
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• Erika Ice
• Ichep LLC
• Id Consultants PA (ID Consultants PA & Infusion Care Specialists)
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• Rebecca Katherine Iden, PT
• Omar Idlibi, MD

• Professional Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.