CREATE YOUR OWN LEGACY EMPOWERMENT GROUP
NPI 1669305645
Community/Behavioral Health in Charlotte, NC
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
Specialties & Licenses
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 with the weekly NPPES data releases published by CMS.
