SACRED PLACE COUNSELING, PLLC
NPI 1720896764
Community/Behavioral Health in Charlotte, NC

Active since December 23, 2024
10130 MALLARD CREEK RD, CHARLOTTE, NC 28262(704) 430-0063 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sacred Place Counseling, Pllc NPPES

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

SACRED PLACE COUNSELING, PLLC (NPI 1720896764) is a healthcare organization registered as a community/behavioral health in Charlotte, North Carolina and active in the NPI registry since December 2024. The organization lists Kimberly Millington-joseph, Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1720896764
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSACRED PLACE COUNSELING, PLLC
Location Address10130 MALLARD CREEK RDCharlotte, NC 28262-6000
Mailing Address6838 Silverwood LnCharlotte, NC 28215-7010 · (704) 607-4190
Organization SubpartNo
Authorized OfficialKimberly Millington-josephClinical Social Worker · (704) 430-0063
Enumeration DateDecember 23, 2024
NPPES CertifiedDecember 23, 2024
NPI 1720896764 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 ListedSocial Worker · ClinicalTaxonomy 1041C0700X
10130 MALLARD CREEK RD, Charlotte, NC 28262

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

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.

In Home Supportive Care
10130 MALLARD CREEK RD, SUITE 300
CHARLOTTE, NC 28262
Social Worker (Clinical)
10130 MALLARD CREEK RD
CHARLOTTE, NC 28262
Counselor (Professional)
10130 MALLARD CREEK RD
CHARLOTTE, NC 28262
Dietitian, Registered
10130 MALLARD CREEK RD
CHARLOTTE, NC 28262
Social Worker (Clinical)
10130 MALLARD CREEK RD, SUITE 300
CHARLOTTE, NC 28262
Social Worker (Clinical)
10130 MALLARD CREEK RD
CHARLOTTE, NC 28262
Social Worker (Clinical)
10130 MALLARD CREEK RD
CHARLOTTE, NC 28262
Counselor
10130 MALLARD CREEK RD, STE 300
CHARLOTTE, NC 28262

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 Place Counseling, PLLC's NPI number?

The NPI number for Sacred Place Counseling, PLLC is 1720896764. It was assigned to this organization in the NPPES registry on December 23, 2024.

Where is Sacred Place Counseling, PLLC located?

Sacred Place Counseling, PLLC is located at 10130 Mallard Creek Rd, Charlotte, NC 28262. The listed phone number is (704) 430-0063.

What is Sacred Place Counseling, PLLC'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 Sacred Place Counseling, PLLC was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.