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

Revitalize Psychiatry, PLLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1720792799

Revitalize Psychiatry, PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Charlotte, North Carolina. 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

11220 Elm Ln Ste 203-9
Charlotte, NC 28277-0715
Phone: (704) 459-2181
Fax: (704) 533-9516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1720792799
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Casey Watson — Owner · (704) 459-2181
NPI enumeratedJanuary 13, 2023
Last updated in NPPESApril 2, 2023
Certification dateApril 2, 2023
Mailing address8022 Providence Rd Ste 500-229, Charlotte, NC 28277-9719

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