| Morning Light Wellness, Pllc | |
|
5501 Executive Center Dr Ste 232 Charlotte NC 28212-8892 | |
| (980) 875-8468 | |
| (800) 708-8044 |
| Full Name | Morning Light Wellness, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 5501 Executive Center Dr Ste 232, Charlotte, North Carolina |
| Authorized Official Name and Position | Sadia Upright (OWNER) |
| Authorized Official Contact | 9808768468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Morning Light Wellness, Pllc 5501 Executive Center Dr Ste 232 Charlotte NC 28212-8892 Ph: (980) 875-8468 | Morning Light Wellness, Pllc 5501 Executive Center Dr Ste 232 Charlotte NC 28212-8892 Ph: (980) 875-8468 |
| NPI Number | 1073092524 |
|---|---|
| Provider Enumeration Date | 08/07/2018 |
| Last Update Date | 03/28/2019 |
| Medicare PECOS PAC ID | 3779811229 |
|---|---|
| Medicare Enrollment ID | O20190822001272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073092524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | A13063 (North Carolina) | Primary |
| Provider Name | Delores Estelle Burrill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750532461 PECOS PAC ID: 6204127087 Enrollment ID: I20160627000259 |
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