Provider Demographics
NPI:1871869834
Name:N2 POTENTIAL
Entity type:Organization
Organization Name:N2 POTENTIAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:C
Authorized Official - Last Name:FETTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-605-4906
Mailing Address - Street 1:PO BOX 32846
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28232-2846
Mailing Address - Country:US
Mailing Address - Phone:704-756-7339
Mailing Address - Fax:704-552-0667
Practice Address - Street 1:2143 LENNOX SQUARE RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-9458
Practice Address - Country:US
Practice Address - Phone:704-605-4906
Practice Address - Fax:704-552-0667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-23
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable
No251X00000XAgenciesSupports Brokerage