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

Kutota Critical Intervention Services LLC

Organization Mental Health Counselor · NPI 1629767678

Kutota Critical Intervention Services LLC is a Mental Health Counselor in Charlotte, North Carolina. Registered with an NPI since 2023.

In the registry since
2023
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

1213 W Morehead St Ste 500
Charlotte, NC 28208-5581
Phone: (704) 498-2400
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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

Record details

NPI number1629767678
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raphael Basisa Ii — Ceo · (704) 498-2400
NPI enumeratedMay 4, 2023
Last updated in NPPESMay 4, 2023
Certification dateMay 4, 2023
Mailing address1213 W Morehead St Ste 500, Charlotte, NC 28208-5581

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