SYNOVIA PETTICE (NPI# 1679036578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679036578 |
| Entity Type | Individual |
| Full Name | SYNOVIA PETTICE |
| Credential | LCAS |
| Practice Address |
3815 N Tryon St Charlotte NC 28206-2060 |
| Practice Telephone | 7043728806 |
| Practice Fax Number | 7043726920 |
| Mailing Telephone | 7043728806 |
| Mailing Fax Number | 7043726920 |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 877 | NC | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
877 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 21286 | 05 |
| Street Address |
3815 N TRYON ST |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28206-2060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154545663 | Hope Haven Inc | Community/Behavioral Health | 3815 N Tryon St, Charlotte, NC 28206-2060 | 2007-04-13 |
| 1073176665 | Flay Lee | Counselor | 3815 N Tryon St, Charlotte, NC 28206-2060 | 2019-04-18 |
| 1669035267 | Tina Lathan Boyer | Counselor | 3815 N Tryon St, Charlotte, NC 28206-2060 | 2019-04-18 |
| 1063075034 | Salvatore Pryor | Counselor | 3815 N Tryon St, Charlotte, NC 28206-2060 | 2019-04-16 |
| 1285197657 | Lewis Scott Carter | Counselor | 3815 N Tryon St, Charlotte, NC 28206-2060 | 2019-04-11 |
| 1962965350 | Linsey Patterson | Counselor | 3815 N Tryon St, Charlotte, NC 28206-2060 | 2019-04-11 |
| 1316400948 | Charles Hayward Samuels Jr. | Counselor | 3815 N Tryon St, Charlotte, NC 28206-2060 | 2019-04-10 |
| 1407263593 | Kenetra Devonne Moore | Counselor | 3815 N Tryon St, Charlotte, NC 28206-2060 | 2014-07-21 |
| 1528474509 | Khysha Le Wise | Counselor | 3815 N Tryon St, Charlotte, NC 28206-2060 | 2014-07-10 |
| 1780962993 | Felicia Gail Thrasher | Counselor | 3815 N Tryon St, Charlotte, NC 28206-2060 | 2011-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019150 | Novant Medical Group, Inc. | Family Medicine | 2701 Statesville Ave., Charlotte, NC 28206 | 2020-07-02 |
| 1609433291 | Life Interrupted Counseling Services | Counselor | 4045 N Tryon St Ste A, Charlotte, NC 28206 | 2019-05-20 |
| 1295141216 | Taqiyah Camyah Barber | Prosthetic/Orthotic Supplier | 3829 Perennial Terrace Dr, #g, Charlotte, NC 28206 | 2014-07-10 |
| 1386976033 | Olugboyega Remi Fisher | Community Health Worker | 1801 N.tryon Street, Suiteb114, Charlotte, NC 28206 | 2010-02-05 |
| 1821225699 | Alzenia Kelly Morris | Counselor | 1801 N Tryon Street Ste 339, Charlotte, NC 28206 | 2009-06-18 |
| 1942479936 | American Current Care of North Carolina PC | Clinic/Center | 2835 Jeff Adams Drive, Suite A, Charlotte, NC 28206 | 2008-02-25 |
| 1992823629 | Shari J Baum | Preventive Medicine | 2830 North I-85, Suite A and B, Charlotte, NC 28206 | 2007-03-27 |
| 1255479135 | Tameka Denise Jenkins | Counselor | 1600 Norris Ave., Charlotte, NC 28206 | 2007-02-02 |
| 1871655803 | Dwight Hollier | Counselor | 1801 North Tryon Street, Suite 309, Charlotte, NC 28206 | 2006-12-15 |
| 1093213621 | Mishelle L Lockerby | Counselor | 5108 Reagan Dr, Charlotte, NC 28206 | 2018-01-29 |
| Find all providers in zip 28206 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749324 | Wanda V Jones | Counselor | 11634 Windy Creek Dr Apt H, Charlotte, NC 28262-1923 | 2020-10-28 |
| 1841897667 | Latia Edwards Counseling Services | Counselor | 1224 Kirt Ct, Charlotte, NC 28213-5966 | 2020-10-05 |
| 1932712858 | Antoinette Thornton | Counselor | 2261 Milton Rd, Charlotte, NC 28215-3320 | 2020-08-29 |
| 1457974867 | Boniery Bell | Counselor | 13830 Firenza Cir Apt 202, Charlotte, NC 28273-4426 | 2020-05-20 |
| 1629616982 | Nakina Narkay Scott | Counselor | 5517 River Falls Dr, Charlotte, NC 28215-9674 | 2019-12-18 |
| 1629612981 | Counterstep Counseling and Consulting, Pllc | Counselor | 13534 Plaza Road Ext Ste 114, Charlotte, NC 28215-8921 | 2019-10-30 |
| 1821631193 | Ingrid C Gilbert | Counselor | 6903 Providence Ln W, Charlotte, NC 28226-7751 | 2019-10-19 |
| 1669013041 | Pivotal Health Solutions | Counselor | 15105d John J Delaney Dr Unit 186, Charlotte, NC 28277-2741 | 2019-10-07 |
| 1700447372 | Zachary Ryan Campbell | Counselor | 535 W 7th St Apt 2201, Charlotte, NC 28202-1636 | 2019-06-25 |
| 1366005902 | Mitchell Dwight Smtihbey | Counselor | 8122 Bald Ridge Dr, Charlotte, NC 28227-0316 | 2019-04-18 |
| Find all providers in CHARLOTTE | ||||
Please comment or provide details below to improve the information on SYNOVIA PETTICE.
| 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.