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

Life Interrupted Counseling Services

Organization Mental Health Counselor · NPI 1609433291

Life Interrupted Counseling Services is a Mental Health Counselor in Charlotte, North Carolina. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

4045 N Tryon St Ste A
Charlotte, NC 28206
Phone: (980) 404-1069
Fax: (877) 766-6203
Show map & directions

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

Additional practice locations (1)

  • 516 Highland Ridge Pt, Clover, SC 29710-5507 — (980) 404-1069

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1609433291
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keshia Keith — Owner · (980) 404-1069
NPI enumeratedMay 20, 2019
Last updated in NPPESJune 11, 2019
Mailing address516 Highland Ridge Pt, Clover, SC 29710-5507

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