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

Kintsugi Counseling Professional Limited Liability Company

Organization Clinical Social Worker · NPI 1679114102

Kintsugi Counseling Professional Limited Liability Company is a Clinical Social Worker in Charlotte, North Carolina. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

322 Lamar Ave Ste 209
Charlotte, NC 28204-2436
Phone: (704) 644-9613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1679114102
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Naomi De La Cruz Spencer — Owner Therapist · (704) 644-9613
NPI enumeratedOctober 7, 2019
Last updated in NPPESOctober 7, 2019
Mailing address1403 Eastcrest Dr Apt 202, Charlotte, NC 28205-8277

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