COLLYTTE DIANA CEDERSTROM
NPI 1770151888
Counselor - Mental Health in Gastonia, NC

Active since June 15, 2021
609 S NEW HOPE RD STE 102, GASTONIA, NC 28054(704) 208-1865(704) 208-1865 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Collytte Diana Cederstrom NPPES

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

COLLYTTE DIANA CEDERSTROM (NPI 1770151888) is an individual mental health provider in Gastonia, North Carolina and active in the NPI registry since June 2021. She maintains a secondary practice location in Lake Wylie.

NPPES Registry Identity

NPI1770151888
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCOLLYTTE DIANA CEDERSTROM
Location Address609 S NEW HOPE RD STE 102Gastonia, NC 28054-4825
Mailing Address14 Hamiltons Bay Ct Apt 506Lake Wylie, SC 29710-9040 · (803) 242-2082
Fax(704) 208-1865
Sole ProprietorYes
Enumeration DateJune 15, 2021
NPPES CertifiedJune 15, 2021
NPI 1770151888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
609 S NEW HOPE RD STE 102, Gastonia, NC 28054

Other Names 1

Other Name (5)Collytte Diana Medders

Secondary Practice Location 1

Location 114 Hamiltons Bay Ct Apt 506Lake Wylie, SC 29710-9040 · Phone (803) 242-2082

Other Providers at the Same Location NPPES 12

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

Social Worker (Clinical)
609 S NEW HOPE RD STE 102
GASTONIA, NC 28054
Counselor (Mental Health)
609 S NEW HOPE RD STE 102
GASTONIA, NC 28054
Counselor (Professional)
609 S NEW HOPE RD STE 102
GASTONIA, NC 28054
Social Worker (Clinical)
609 S NEW HOPE RD STE 102
GASTONIA, NC 28054
Counselor (Mental Health)
609 S NEW HOPE RD STE 102
GASTONIA, NC 28054
Counselor (Mental Health)
609 S NEW HOPE RD STE 102
GASTONIA, NC 28054
Social Worker (Clinical)
609 S NEW HOPE RD STE 102
GASTONIA, NC 28054
Counselor (Mental Health)
609 S NEW HOPE RD STE 102
GASTONIA, NC 28054

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 Collytte Cederstrom's NPI number?

The NPI number for Collytte Cederstrom is 1770151888. It was assigned to this individual provider in the NPPES registry on June 15, 2021. The provider is also known as Collytte Diana Medders.

Where is Collytte Cederstrom located?

Collytte Cederstrom practices at 609 S New Hope Rd Ste 102, Gastonia, NC 28054. The listed phone number is (704) 208-1865.

What is Collytte Cederstrom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Collytte Cederstrom was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.