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

Create Your Own Legacy Empowerment Group

Organization Community/Behavioral Health Agency · NPI 1669305645

Create Your Own Legacy Empowerment Group is a Community/Behavioral Health Agency in Charlotte, North Carolina. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

16316 Old Stone Crossing Dr
Charlotte, NC 28213-4923
Phone: (216) 501-9618
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1669305645
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Damon Gordon — Owner · (216) 501-9618
NPI enumeratedJune 8, 2026
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing address16316 Old Stone Crossing Dr, Charlotte, NC 28213-4923

Other providers in Charlotte