Provider Demographics
NPI:1912887084
Name:MY NEXT CHAPTER LLC
Entity type:Organization
Organization Name:MY NEXT CHAPTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEER SUPPORT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TYEISHA
Authorized Official - Middle Name:NICHOLE
Authorized Official - Last Name:HAIRSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-345-5157
Mailing Address - Street 1:16131 LANCASTER HWY STE 120
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-2973
Mailing Address - Country:US
Mailing Address - Phone:704-345-5157
Mailing Address - Fax:
Practice Address - Street 1:1000 COPPERFIELD BLVD NE STE 100
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-2454
Practice Address - Country:US
Practice Address - Phone:704-345-5157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty