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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LYDIAELISEE PHILOGENE
NPI 1093475360
Counselor - Mental Health in Charlotte, NC

Active since December 28, 2021
8505 KENBROOKE DR APT 1402, CHARLOTTE, NC 28262(304) 894-5987 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2026, Dec 28, 2021 (2 updates tracked since 2021).

About Lydiaelisee Philogene NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYDIAELISEE PHILOGENE (NPI 1093475360) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (A23216) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1093475360
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLYDIAELISEE PHILOGENE
Location Address8505 KENBROOKE DR APT 1402Charlotte, NC 28262-5633
Mailing Address8505 Kenbrooke Dr Apt 1402Charlotte, NC 28262-5633 · (304) 894-5987
Phone(304) 894-5987
Sole ProprietorNo
Enumeration DateDecember 28, 2021
Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1093475360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · A23216
8505 KENBROOKE DR APT 1402, Charlotte, NC 28262
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lydiaelisee Philogene's NPI number?

The NPI number for Lydiaelisee Philogene is 1093475360. It was assigned to this individual provider in the NPPES registry on December 28, 2021.

Where is Lydiaelisee Philogene located?

Lydiaelisee Philogene practices at 8505 Kenbrooke Dr Apt 1402, Charlotte, NC 28262. The listed phone number is (304) 894-5987.

What is Lydiaelisee Philogene's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Lydiaelisee Philogene was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.