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

Future Impression

Organization Counselor · NPI 1588161350

Future Impression is a Counselor in Charlotte, North Carolina. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
5

Practice location Address checks out

619 Sullivan St
Charlotte, NC 28214
Phone: (980) 365-9879
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X
Case Manager/Care Coordinator Taxonomy 171M00000X
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1588161350
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bertina Broadnax — Ceo · (980) 365-9879
NPI enumeratedApril 9, 2018
Last updated in NPPESApril 9, 2018
Mailing addressP.O. Box 16695, Charlotte, NC 28297

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