Provider Demographics
NPI:1669756268
Name:PRESSLEY, TREVOLIA AYANNA
Entity type:Individual
Prefix:MRS
First Name:TREVOLIA
Middle Name:AYANNA
Last Name:PRESSLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 E 19TH ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-2624
Mailing Address - Country:US
Mailing Address - Phone:919-923-4448
Mailing Address - Fax:
Practice Address - Street 1:701 E 19TH ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-2624
Practice Address - Country:US
Practice Address - Phone:919-923-4448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health