Provider Demographics
NPI:1164729471
Name:MAY, PERRI (LRT/CTRS)
Entity Type:Individual
Prefix:
First Name:PERRI
Middle Name:
Last Name:MAY
Suffix:
Gender:F
Credentials:LRT/CTRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:493 BEATEN PATH RD
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-8981
Mailing Address - Country:US
Mailing Address - Phone:704-660-5249
Mailing Address - Fax:
Practice Address - Street 1:862 BRAWLEY SCHOOL RD STE 202
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-8154
Practice Address - Country:US
Practice Address - Phone:704-659-4707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-23
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7058A106H00000X
NC544225800000X
NC1510106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist