| Renee Beauregard, Pllc | |
|
1515 Mockingbird Ln Ste 420 Charlotte NC 28209-3236 | |
| (717) 870-9303 | |
| Not Available |
| Full Name | Renee Beauregard, Pllc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1515 Mockingbird Ln Ste 420, Charlotte, North Carolina |
| Authorized Official Name and Position | Renee Beauregard (OWNER) |
| Authorized Official Contact | 7178709303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renee Beauregard, Pllc 1515 Mockingbird Ln Ste 420 Charlotte NC 28209-3236 Ph: (717) 870-9303 | Renee Beauregard, Pllc 1515 Mockingbird Ln Ste 420 Charlotte NC 28209-3236 Ph: (717) 870-9303 |
| NPI Number | 1790572303 |
|---|---|
| Provider Enumeration Date | 04/24/2025 |
| Last Update Date | 06/18/2025 |
| Certification Date | 06/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790572303 | NPI | - | NPPES |
| 16125360 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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