Provider Demographics
NPI:1225284177
Name:ECHELON CONSULTING INC.
Entity Type:Organization
Organization Name:ECHELON CONSULTING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-576-1212
Mailing Address - Street 1:7209J E WT HARRIS BLVD STE 207
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28227-1008
Mailing Address - Country:US
Mailing Address - Phone:704-909-2832
Mailing Address - Fax:704-909-2829
Practice Address - Street 1:809 E 8TH ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28202-2906
Practice Address - Country:US
Practice Address - Phone:704-377-0841
Practice Address - Fax:704-377-0841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-12
Last Update Date:2008-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6604324Medicare PIN