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

Bertha's Place, Inc

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1063569127

Bertha's Place, Inc is an Emotionally Disturbed Childrens' Residential Treatment Facility in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
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

3412 Green Meadow Dr
Charlotte, NC 28269-2982
Phone: (704) 598-5106
Fax: (704) 598-5106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence MHL060-871 (NC)

Record details

NPI number1063569127
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wayne Garris — Executive Director · (704) 598-5106
NPI enumeratedJanuary 4, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2424 Logan Field Dr., Waxhaw, NC 28173-6962

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