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

Kingdom Creative Counseling PLLC

Organization Mental Health Counselor · NPI 1700313780

Kingdom Creative Counseling PLLC is a Mental Health Counselor in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1050 Revolution Mill Dr Ste 2
Greensboro, NC 27405-5053
Phone: (336) 543-0159
Fax: (336) 663-2906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence C007049 (NC)
Professional Counselor Taxonomy 101YP2500X · Licence C007049 (NC)

Record details

NPI number1700313780
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samaria Colbert — Owner · (336) 543-0159
Other names Samaria M Colbert
NPI enumeratedMay 22, 2017
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024
Mailing addressPo Box 14222, Greensboro, NC 27415-4222

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