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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.

INNOVATIVE LIFESTYLE NETWORK, LLC
NPI 1437709482
Community/Behavioral Health in Charlotte, NC

Active since September 11, 2019
301 MCCULLOUGH DR STE 400, CHARLOTTE, NC 28262(704) 504-7274(704) 919-5564 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, Jul 28, 2022, Sep 11, 2019 (3 updates tracked since 2019).

About Innovative Lifestyle Network, Llc NPPES

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

INNOVATIVE LIFESTYLE NETWORK, LLC (NPI 1437709482) is a healthcare organization registered as a community/behavioral health in Charlotte, North Carolina and active in the NPI registry since September 2019. The organization lists Shanika Johnson, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1437709482
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameINNOVATIVE LIFESTYLE NETWORK, LLC
Location Address301 MCCULLOUGH DR STE 400Charlotte, NC 28262-1336
Mailing Address301 Mccullough Dr Ste 400Charlotte, NC 28262-1336 · (704) 504-7274 · Fax (704) 919-5564
Phone(704) 504-7274
Fax(704) 919-5564
Organization SubpartNo
Authorized OfficialShanika JohnsonOwner/therapist · (704) 421-1330
Enumeration DateSeptember 11, 2019
Last NPPES UpdateJuly 13, 20263 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1437709482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
301 MCCULLOUGH DR STE 400, Charlotte, NC 28262
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 20

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

DANIELA ALEJANDRA GUTIERREZ MORE MS, RD, LDN, CPT
Dietitian, Registered
301 MCCULLOUGH DR STE 400
CHARLOTTE, NC 28262
Mecklenburg County (704) 819-4916
JULIE LAWRENCE
Behavior Technician
301 MCCULLOUGH DR STE 400
CHARLOTTE, NC 28262
Mecklenburg County (252) 341-4192
CHRISTINA LOPEZ LCSW
Social Worker (Clinical)
301 MCCULLOUGH DR STE 400
CHARLOTTE, NC 28262
Mecklenburg County (615) 419-6150
EMILY MINO
Behavior Technician
301 MCCULLOUGH DR STE 400
CHARLOTTE, NC 28262
Mecklenburg County (252) 341-4192
BEATITUDES HOME CARE LLC
In Home Supportive Care
301 MCCULLOUGH DR STE 400
CHARLOTTE, NC 28262
Mecklenburg County (704) 620-4422
TATYANA TAYLOR
Behavior Technician
301 MCCULLOUGH DR STE 400
CHARLOTTE, NC 28262
Mecklenburg County (866) 727-8274
SHYAMALIA CAMPBELL
Behavior Technician
301 MCCULLOUGH DR STE 400
CHARLOTTE, NC 28262
Mecklenburg County (252) 341-4192
GOOD LIFE COUNSELING AND TRAINING, PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
301 MCCULLOUGH DR STE 400
CHARLOTTE, NC 28262
Mecklenburg County (980) 260-8408

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 Innovative Lifestyle Network, LLC's NPI number?

The NPI number for Innovative Lifestyle Network, LLC is 1437709482. It was assigned to this organization in the NPPES registry on September 11, 2019.

Where is Innovative Lifestyle Network, LLC located?

Innovative Lifestyle Network, LLC is located at 301 Mccullough Dr Ste 400, Charlotte, NC 28262. The listed phone number is (704) 504-7274.

What is Innovative Lifestyle Network, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

What insurance does Innovative Lifestyle Network, LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Innovative Lifestyle Network, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Innovative Lifestyle Network, LLC was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 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.