Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charlotte Counseling and Consulting, PLLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1467782177

Charlotte Counseling and Consulting, PLLC is an Addiction (Substance Use Disorder) Counselor in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.

Licensed in
NC
In the registry since
2009
Specialties on file
7
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1905 J N Pease Pl Ste 202
Charlotte, NC 28262-4539
Phone: (704) 771-4633
Fax: (980) 225-5555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 1184 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence C005599 (NC)
Behavior Analyst Taxonomy 103K00000X · Licence C005599 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence C005599 (NC)
Community/Behavioral Health Agency Taxonomy 251S00000X · Licence C005599 (NC)
Emotionally Disturbed Childrens' Residential Treatment Facility Taxonomy 322D00000X

Record details

NPI number1467782177
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jamarr Funderburg — Owner/Therapist · (704) 771-4633
NPI enumeratedDecember 31, 2009
Last updated in NPPESFebruary 26, 2024
Certification dateDecember 13, 2021
Mailing address3602 Newchurch Cir, Charlotte, NC 28269-7702

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