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

Back 2 Lyfe Outreach Services, Inc

Organization Community/Behavioral Health Agency · NPI 1114607637

Back 2 Lyfe Outreach Services, Inc is a Community/Behavioral Health Agency in Charlotte, North Carolina. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1914 J N Pease Pl
Charlotte, NC 28262-4504
Phone: (980) 292-3213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1114607637
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lashauna Grier — Program Director · (443) 286-7850
Other names Back 2 Lyfe Outreach Services
NPI enumeratedJuly 19, 2023
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023
Mailing address109 Stock Ln, Mooresville, NC 28115-9720

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