Provider Demographics
NPI:1053293027
Name:MBS THERAPY AND WELLNESS
Entity type:Organization
Organization Name:MBS THERAPY AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWER
Authorized Official - Prefix:
Authorized Official - First Name:TANIKA
Authorized Official - Middle Name:EVETTE
Authorized Official - Last Name:BARBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-993-7373
Mailing Address - Street 1:1973 J N PEASE PL STE 103
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-4525
Mailing Address - Country:US
Mailing Address - Phone:704-262-1062
Mailing Address - Fax:704-837-2469
Practice Address - Street 1:1973 J N PEASE PL STE 103
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-4525
Practice Address - Country:US
Practice Address - Phone:704-262-1062
Practice Address - Fax:704-837-2469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty