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Mr. Paul Pickett JR.
Adult Companion in Charlotte, North Carolina
NPI 1619442076

Paul Pickett JR. is an Adult Companion based in Charlotte, NC. Paul Pickett JR. practices in Charlotte, NC. The NPI Number for Paul Pickett JR. is 1619442076 and holds a License No. (North Carolina).

The current practice location address for Paul Pickett JR. is 4708 Twisted Oaks Rd Apt 104, Charlotte, NC and can be reached out via phone at 704-456-8120 and via fax at 704-509-9208. You can also correspond with Paul Pickett JR. through the mailing address at 4708 TWISTED OAKS RD APT 104, CHARLOTTE, NC - 28212-7317 (mailing address contact number: 704-456-8120).

Location: 4708 Twisted Oaks Rd Apt 104, Charlotte, NC, 28212-7317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619442076
Provider Name
Paul Pickett JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
4708 Twisted Oaks Rd Apt 104, Charlotte, NC, 28212-7317
Phone Number
704-456-8120
Fax Number
704-509-9208
Provider Enumeration Date
10/11/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1619442076 05 NC
institution
Provider Business Practice Location Address Details
Address
4708 Twisted Oaks Rd Apt 104
City
Charlotte
State
North Carolina
Zip
28212-7317
Phone Number
704-456-8120
Fax Number
704-509-9208
person
Provider Business Mailing Address Details
Address
4708 Twisted Oaks Rd Apt 104
City
Charlotte
State
North Carolina
Zip
28212-7317
Phone Number
704-456-8120
Fax Number
704-509-9208
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Intellectual & Developmental Disabilities
Taxonomy
103TM1800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
372600000X
License No.
(North Carolina)
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
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