Base, Pllc

LBN: Base, Pllc
Base, Pllc is an health care organization with primary practice located at 1515 Mockingbird Ln Ste 580 , Charlotte NC 28209-3236. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Base, Pllc can be contacted via phone (704) 910-8381, or through Kettling, Andrea Umbach via phone (704) 910-8381.

Contact Information

Primary practice address
1515 Mockingbird Ln Ste 580 Charlotte NC 28209-3236
Phone: (704) 910-8381
Fax: (704) 981-8282
Website:
Map and Directions
Authorized official contact:
Name: Kettling, Andrea Umbach PSYD
Phone: (704) 910-8381

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X

Profile Details

NPI number 1265936108
LBN Legal business name Base, Pllc
DBA Doing business as
Authorized official Kettling, Andrea Umbach PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2018
Last updated Aug 6th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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