Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CREATE YOUR OWN LEGACY EMPOWERMENT GROUP
NPI 1669305645
Community/Behavioral Health in Charlotte, NC

Q: What is Create Your Own Legacy Empowerment Group's specialty?

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

Active since June 08, 2026

16316 OLD STONE CROSSING DR, CHARLOTTE, NC 28213(216) 501-9618 Get Directions Write a Review

NPPES record added: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Create Your Own Legacy Empowerment Group NPPES

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

CREATE YOUR OWN LEGACY EMPOWERMENT GROUP (NPI 1669305645) is a healthcare organization registered as a community/behavioral health in Charlotte, North Carolina and active in the NPI registry since June 2026. The organization lists Damon L Gordon, Owner, as its authorized official.

NPPES Registry Identity

NPI1669305645

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCREATE YOUR OWN LEGACY EMPOWERMENT GROUP

Location Address16316 OLD STONE CROSSING DRCharlotte, NC 28213-4923

Mailing Address16316 Old Stone Crossing DrCharlotte, NC 28213-4923 · (216) 501-9618

Phone(216) 501-9618

Organization SubpartNo

Authorized OfficialDamon L GordonOwner · (216) 501-9618

Enumeration DateJune 8, 2026

NPPES CertifiedJune 8, 2026

✔ NPI 1669305645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

16316 OLD STONE CROSSING DR, Charlotte, NC 28213

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Other Providers at the Same Location NPPES

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

DAMON L GORDON

Behavior Analyst

16316 OLD STONE CROSSING DR
CHARLOTTE, NC 28213

Mecklenburg County (216) 501-9618

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 Create Your Own Legacy Empowerment Group's NPI number?

The NPI number for Create Your Own Legacy Empowerment Group is 1669305645. It was assigned to this organization in the NPPES registry on June 8, 2026.

Where is Create Your Own Legacy Empowerment Group located?

Create Your Own Legacy Empowerment Group is located at 16316 Old Stone Crossing Dr, Charlotte, NC 28213. The listed phone number is (216) 501-9618.

What is Create Your Own Legacy Empowerment Group's specialty?

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

When was this NPI record last updated?

The NPPES record for Create Your Own Legacy Empowerment Group was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.