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 Clinical Social Worker · NPI 1548796766

Charlotte Counseling and Consulting, PLLC is a Clinical Social Worker in Charlotte, North Carolina. Licensed in South Carolina. Registered with an NPI since 2017.

Licensed in
SC
In the registry since
2017
Specialties on file
2
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

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence 10648 (SC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 10648 (SC)

Record details

NPI number1548796766
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jamarr Funderburg — Owner · (704) 771-4633
NPI enumeratedMay 8, 2017
Last updated in NPPESDecember 13, 2021
Certification dateDecember 13, 2021
Mailing address1905 J N Pease Pl, Charlotte, NC 28262-4557

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