MYTHIC MASSAGE LLC (NPI# 1093339269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093339269 |
| Entity Type | Organization |
| Organization Name | MYTHIC MASSAGE LLC |
| Practice Address |
2436 N Sharon Amity Rd Ste 106 Charlotte NC 28205-8401 |
| Practice Telephone | 7043236718 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |
| Authorized Official Name | MEWW GOMEZ (OWNER) |
| Authorized Official Telephone | 7043236718 |
| Authorized Official Credential | LMBT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Mythic Massage LLC | 811 Central Avenue, Suite 8, Charlotte, NC 28204 |
| Street Address |
2436 N SHARON AMITY RD STE 106 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28205-8401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922629161 | Meww Gomez | Massage Therapist | 2436 N Sharon Amity Rd Ste 106, Charlotte, NC 28205-8401 | 2020-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260493 | Sarah Mcgeachy Greene | Social Worker | 1332 Morningside Dr., Charlotte, NC 28205 | 2020-09-16 |
| 1538705090 | Insight Counseling & Mental Health Co, Pllc | Social Worker | 4922 Albemarle Blvd, Charlotte, NC 28205 | 2019-11-20 |
| 1821631672 | Healthy Living Pharmacy | Pharmacy | 3717 N. Sharon Amity Road, Suite C, Charlotte, NC 28205 | 2019-10-24 |
| 1861957292 | Oakhurst Health Investers Inc. | Pharmacy | 1630 Oakhurst Commons Dr, Unit 206, Charlotte, NC 28205 | 2019-02-11 |
| 1710459938 | Leis Therapy LLC | Physical Therapist | 1617 Onslow Dr, Charlotte, NC 28205 | 2018-12-28 |
| 1518449776 | Natalie C Martinez-rogers Dmd Pa | Dentist | 2100 N Davidson St Ste B, Charlotte, NC 28205 | 2018-09-05 |
| 1144716499 | Resourceful Solutions II | Case Management | 4920 Albmarle Roadd, Charlotte, NC 28205 | 2018-07-10 |
| 1679072805 | Richard Mcdonald | Counselor | 4922 Albemarle Rd Ste 5, Charlotte, NC 28205 | 2018-02-02 |
| 1487160107 | Catherine King | Nurse Practitioner | 2801 Virginia Ave, Charlotte, NC 28205 | 2017-12-18 |
| 1295251213 | Kashmia A Fanning | Social Worker | 4822 Albermarle Road, Charlotte, NC 28205 | 2017-08-22 |
| Find all providers in zip 28205 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487270674 | Fall Forward Wellness Center | Clinic/Center | 12709 Caldwell Rd, Charlotte, NC 28213-3811 | 2020-06-23 |
| 1760024749 | Wellcomemd Charlotte Clinic, Inc | Clinic/Center | 8035 Providence Rd Ste 315, Charlotte, NC 28277-8909 | 2019-10-11 |
| 1255807251 | Melissa Martin | Clinic/Center | 4401 E Independence Blvd Ste 101, Charlotte, NC 28205-7442 | 2018-10-17 |
| 1104303635 | Greenbrook Tms Charlotte LLC | Clinic/Center | 1515 Mockingbird Ln Ste 340, Charlotte, NC 28209-3298 | 2018-07-27 |
| 1811474976 | Elev8 Md Wellness Center | Clinic/Center | 8000 Corporate Center Dr Ste 212, Charlotte, NC 28226-4205 | 2018-07-23 |
| 1053801936 | Charlotte Community Health Clinic, Inc. | Clinic/Center | 1225 S Caldwell St, Charlotte, NC 28203-4556 | 2018-05-16 |
| 1235642166 | Thrive Pediatric Therapy, Pllc | Clinic/Center | 3315 Springbank Ln Ste 206, Charlotte, NC 28226-3198 | 2017-11-14 |
| 1821501800 | 4 Life Lab | Clinic/Center | 11709 Fruehauf Dr Ste 103, Charlotte, NC 28273-7285 | 2017-11-13 |
| 1336595826 | North Carolina Neurodiagnostics, LLC | Clinic/Center | 10130 Perimeter Pwky, Ste. 200, Office 250, Charlotte, NC 28216 | 2016-05-13 |
| 1750673729 | Al-falah Group PC | Clinic/Center | 3118 Milton Rd, A, Charlotte, NC 28215 | 2011-05-10 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.