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

Longevity Nc, LLC

Organization Community/Behavioral Health Agency · NPI 1174467179

Longevity Nc, LLC is a Community/Behavioral Health Agency in Waxhaw, North Carolina. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2006 Belleforest Ct
Waxhaw, NC 28173-7381
Phone: (804) 800-2500
Fax: (804) 800-2600
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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

Record details

NPI number1174467179
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Tyler — Co-Owner · (804) 800-2500
NPI enumeratedApril 18, 2026
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026
Mailing address2006 Belleforest Ct, Waxhaw, NC 28173-7381

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