Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ascentia Mind and Body Wellness Center, PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1205515566

Ascentia Mind and Body Wellness Center, PLLC is a Psychiatric/Mental Health Nurse Practitioner in Charlotte, North Carolina. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1914 J N Pease Pl Ste 180&182
Charlotte, NC 28262-4504
Phone: (704) 909-0302
Fax: (704) 772-1774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 120 Academy St Ste 102-136, Fort Mill, SC 29715-1838 — (704) 909-0304

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1205515566
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Claudette Green — Pmhnp/Clinical Director/Owner · (704) 909-0304
NPI enumeratedJuly 14, 2023
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026
Mailing address1914 J N Pease Pl Ste 180&182, Charlotte, NC 28262-4504

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