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

Expert of Lived Experience LLC

Organization Pastoral Counselor · NPI 1477331213

Expert of Lived Experience LLC is a Pastoral Counselor in Charlotte, North Carolina. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
12
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

8539 Monroe Rd # 105
Charlotte, NC 28212-7510
Phone: (704) 817-8814
Fax: (888) 706-9896
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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
Pastoral Counselor Taxonomy 101YP1600X
Behavior Technician Taxonomy 106S00000X
Health & Wellness Coach Taxonomy 171400000X
Community Health Worker Taxonomy 172V00000X
Peer Specialist Taxonomy 175T00000X
Case Management Agency Taxonomy 251B00000X
Early Intervention Provider Agency Taxonomy 252Y00000X
Private Vehicle Taxonomy 347C00000X
Religious Nonmedical Practitioner Taxonomy 374K00000X
Homemaker Taxonomy 376J00000X
Prevention Professional Taxonomy 405300000X

Record details

NPI number1477331213
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vernell Mackie — Operation Executive Ceo · (704) 817-8814
NPI enumeratedSeptember 21, 2023
Last updated in NPPESFebruary 15, 2024
Certification dateFebruary 15, 2024
Mailing address8539 Monroe Rd Ste 105, Charlotte, NC 28212-7510

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