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

Crown King Therapy LLC

Organization Mental Health Counselor · NPI 1235000589

Crown King Therapy LLC is a Mental Health Counselor in Charlotte, North Carolina. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11915 N Tryon St Ste F
Charlotte, NC 28262-4995
Phone: (704) 606-4245
Fax: (704) 606-4245
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1235000589
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Reuben Jackson — Owner · (704) 606-4245
NPI enumeratedSeptember 17, 2025
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025
Mailing address11915 N Tryon St Ste F, Charlotte, NC 28262-4995

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