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

Renewed Axis Telehealth PLLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1063301612

Renewed Axis Telehealth PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Charlotte, North Carolina. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
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

2101 Sardis Rd N Ste 120B
Charlotte, NC 28227-7711
Phone: (704) 840-2927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1063301612
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nina Fombuh — Owner/Provider · (047) 741-2909
NPI enumeratedJune 30, 2025
Last updated in NPPESFebruary 2, 2026
Certification dateFebruary 2, 2026
Mailing address2101 Sardis Rd N Ste 120b, Charlotte, NC 28227-7711

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