REBELLIOUS THERAPY
NPI 1821742552
Counselor - Mental Health in Huntersville, NC

Active since February 10, 2022
9808 HOLLY CENTER DR APT 204, HUNTERSVILLE, NC 28078(704) 290-9780 Get Directions Write a Review

NPPES record last updated: March 15, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Counselor
  • Mental Health

About REBELLIOUS THERAPY

This page provides the complete NPI Profile along with additional information for Rebellious Therapy, a provider established in Huntersville, North Carolina operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1821742552 assigned on February 2022. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Katherine Lee Elizabeth Waldron M.a, Lcmhca, Ncc, Ct (Ceo)

NPI
1821742552 Verify this NPI
Provider Name
REBELLIOUS THERAPY
Entity Type
Organization
Location Address
9808 HOLLY CENTER DR APT 204 HUNTERSVILLE, NC 28078
Location Phone
(704) 290-9780
Mailing Address
9808 HOLLY CENTER DR APT 204 HUNTERSVILLE, NC 28078
Mailing Phone
(704) 290-9780
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-10-2022
Last Update Date
03-15-2022
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A mental health counselor like Rebellious Therapy provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATHERINE LEE ELIZABETH WALDRON M.A, LCMHCA, NCC, CT

Authorized Official Title
CEO
Authorized Official Phone
(704) 290-9780

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821742552, enumerated as an "organization" on February 10, 2022.

The provider is located at 9808 HOLLY CENTER DR APT 204 HUNTERSVILLE, NC 28078 and the phone number is (704) 290-9780.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.