1. Home
  2. Directory
  3. North Carolina
  4. Waxhaw
  5. Counselor
  6. NPI Profile

SOUTHEAST CHILD & FAMILY GUIDANCE, PLLC
NPI 1356629273
Counselor - Mental Health in Waxhaw, NC

Active since July 26, 2011
105 WAXHAW PROFESSIONAL PARK DR STE H, WAXHAW, NC 28173(704) 770-8049(704) 256-9968 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southeast Child & Family Guidance, Pllc NPPES

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

SOUTHEAST CHILD & FAMILY GUIDANCE, PLLC (NPI 1356629273) is a healthcare organization registered as a mental health in Waxhaw, North Carolina and active in the NPI registry since July 2011. The organization lists Kathleen Bready, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1356629273
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameSOUTHEAST CHILD & FAMILY GUIDANCE, PLLC
Location Address105 WAXHAW PROFESSIONAL PARK DR STE HWaxhaw, NC 28173-5018
Mailing Address105 Waxhaw Professional Park Dr Ste HWaxhaw, NC 28173-5018 · (704) 770-8049 · Fax (704) 256-9968
Phone(704) 770-8049
Fax(704) 256-9968
Organization SubpartNo
Authorized OfficialKathleen BreadyOwner/manager · (704) 770-8049
Enumeration DateJuly 26, 2011
Last NPPES UpdateApril 4, 2024
NPPES CertifiedApril 4, 2024
✔ NPI 1356629273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
105 WAXHAW PROFESSIONAL PARK DR STE H, Waxhaw, NC 28173
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONSTANCE ELAINE PERKINS LCSW
Social Worker (Clinical)
105 WAXHAW PROFESSIONAL PARK DR STE H
WAXHAW, NC 28173
Union County (704) 256-0305
MELODY CARR MED, LPCA
Counselor (Professional)
105 WAXHAW PROFESSIONAL PARK DR STE H
WAXHAW, NC 28173
Union County (704) 256-0305
EDEN BOZZA LCSW
Social Worker (Clinical)
105 WAXHAW PROFESSIONAL PARK DR STE H
WAXHAW, NC 28173
Union County (704) 256-0305
MS. TIFFANY CAMILLE HUTCHINS
Social Worker (Clinical)
105 WAXHAW PROFESSIONAL PARK DR STE H
WAXHAW, NC 28173
Union County (704) 222-0232
KATHERINE J SMITH
Counselor (Mental Health)
105 WAXHAW PROFESSIONAL PARK DR STE H
WAXHAW, NC 28173
Union County (704) 256-0305

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 Southeast Child & Family Guidance, PLLC's NPI number?

The NPI number for Southeast Child & Family Guidance, PLLC is 1356629273. It was assigned to this organization in the NPPES registry on July 26, 2011.

Where is Southeast Child & Family Guidance, PLLC located?

Southeast Child & Family Guidance, PLLC is located at 105 Waxhaw Professional Park Dr Ste H, Waxhaw, NC 28173. The listed phone number is (704) 770-8049.

What is Southeast Child & Family Guidance, PLLC'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 Southeast Child & Family Guidance, PLLC was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.