1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Nurse Practitioner
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

SACRED PATH PSYCHIATRY
NPI 1386564300
Nurse Practitioner - Psychiatric/Mental Health in Charlotte, NC

Active since July 20, 2026
301 S MCDOWELL ST STE 125-2060, CHARLOTTE, NC 28204(803) 417-6325 Get Directions Write a Review

NPPES record added: July 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sacred Path Psychiatry NPPES

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

SACRED PATH PSYCHIATRY (NPI 1386564300) is a healthcare organization registered as a psychiatric/mental health in Charlotte, North Carolina and active in the NPI registry since July 2026. The organization lists Kendra Blackwell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1386564300
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSACRED PATH PSYCHIATRY
Location Address301 S MCDOWELL ST STE 125-2060Charlotte, NC 28204-2623
Mailing Address1723 Valkrie PlYork, SC 29745-6625 · (803) 417-6325
Phone(803) 417-6325
Organization SubpartNo
Authorized OfficialKendra BlackwellCeo · (803) 417-6325
Enumeration DateJuly 20, 2026
NPPES CertifiedJuly 20, 2026
✔ NPI 1386564300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
301 S MCDOWELL ST STE 125-2060, Charlotte, NC 28204
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Sacred Path Psychiatry's NPI number?

The NPI number for Sacred Path Psychiatry is 1386564300. It was assigned to this organization in the NPPES registry on July 20, 2026.

Where is Sacred Path Psychiatry located?

Sacred Path Psychiatry is located at 301 S Mcdowell St Ste 125-2060, Charlotte, NC 28204. The listed phone number is (803) 417-6325.

What is Sacred Path Psychiatry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Sacred Path Psychiatry was last updated on July 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.