REDLAK RECOVERY CENTER, PLLC


Address: 10801 Johnston Rd Ste 217, Charlotte, NC 28226-7856
Phone: 7046549760

REDLAK RECOVERY CENTER, PLLC (NPI# 1235406109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235406109
Entity Type Organization
Organization Name REDLAK RECOVERY CENTER, PLLC
Practice Address 10801 Johnston Rd Ste 217
Charlotte
NC 28226-7856
Mailing Address 3421 Twelve Oaks Pl
Charlotte
NC 28270-4432
Practice Telephone 7046549760
Practice Fax Number 7045523705
Mailing Telephone (704) 654-9760
Mailing Fax Number 7045523705
Enumeration Date 2011-11-21
Last Update Date 2017-07-21
Authorized Official Name DR. ANGELA SABINA REDLAK-OLCESE (MANAGER-OWNER)
Authorized Official Telephone 7046549760
Authorized Official Credential PSY.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
3208 NC Behavioral Health & Social Service Providers

Office Location

Street Address 10801 JOHNSTON RD STE 217
City CHARLOTTE
State NC
Zip Code 28226-7856

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770123531 Robert B Stroker Psychologist 10617 Kettering Dr Ste 213, Charlotte, NC 28226-4900 2020-01-09
1902460744 Holly Hauser Psychologist 1905 J N Pease Pl Ste 104, Charlotte, NC 28262-4509 2019-04-26
1972944759 Intrusted Care Solutions Inc Psychologist 2340 N Graham St Ste B, Charlotte, NC 28206-2506 2013-07-09
1790029791 David E Mermelstein Psychologist 6201 Fairview Road, Ste 200, Charlotte, NC 28210-3297 2012-11-15
1598014011 Jesse Selkin Psychologist 8832 Blakeney Professional Dr Ste 105, Charlotte, NC 28277-6717 2012-08-30
1629324975 Kevin L Gyoerkoe Psychologist 8832 Blakeney Professional Dr, Suite 105, Charlotte, NC 28277-6809 2012-07-24
1801172051 Chad Wesley Kraska Psychologist 7400 Carmel Executive Park Dr Ste 135, Charlotte, NC 28226-8400 2011-11-01
1679805717 Rose Marie Leday Psychologist 3440 Toringdon Way, Suite #205, Charlotte, NC 28277-3190 2010-01-29
1023241965 Briana Melissa Webber-lind Psychologist 12815 Longstraw Rd, Charlotte, NC 28227-3686 2009-08-26
1942431390 Jennifer Marchesani Keyvan Psychologist 1820 East Blvd, Charlotte, NC 28203-5826 2009-08-03
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Competitor

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City CHARLOTTE
Zip Code 28226

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Dataset Information

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.

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