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

Impact Carolina Services, Inc

Organization Addiction (Substance Use Disorder) Counselor · NPI 1619285756

Impact Carolina Services, Inc is an Addiction (Substance Use Disorder) Counselor in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2010.

Licensed in
NC
In the registry since
2010
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2848 Queen City Dr Ste G
Charlotte, NC 28208-2739
Phone: (704) 405-1617
Fax: (704) 405-1619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence NC 2005-00391 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 795 (NC)
Professional Counselor Taxonomy 101YP2500X · Licence 5171 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence C001664 (NC)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 0600071 (NC)

Record details

NPI number1619285756
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Adedokun — Director/Ceo · (704) 405-1617
NPI enumeratedSeptember 23, 2010
Last updated in NPPESSeptember 23, 2010
Mailing address2848 Queen City Dr Ste G, Charlotte, NC 28208-2739

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