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

Southeastpsych Ballantyne, PLLC

Organization Mental Health Counselor · NPI 1902318249

Southeastpsych Ballantyne, PLLC is a Mental Health Counselor in Charlotte, North Carolina. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
3
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

15720 Brixham Hill Ave Ste 150
Charlotte, NC 28277-4785
Phone: (704) 970-4791
Fax: (704) 970-4794
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X
Mental Health Counselor Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1902318249
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Amrhein — Director Of Finance · (704) 552-0116
NPI enumeratedOctober 26, 2017
Last updated in NPPESDecember 4, 2023
Certification dateDecember 4, 2023
Mailing address15720 Brixham Hill Ave Ste 150, Charlotte, NC 28277-4785

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