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

Micum Health PLLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1376326850

Micum Health PLLC is an Addiction (Substance Use Disorder) Counselor in Charlotte, North Carolina. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
5
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

10130 Mallard Creek Rd Ste 207
Charlotte, NC 28262-6003
Phone: (800) 470-8303
Fax: (704) 997-1588
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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
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Case Manager/Care Coordinator Taxonomy 171M00000X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1376326850
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tovakyshe Woullard — Program Director · (800) 470-8303
NPI enumeratedAugust 17, 2023
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024
Mailing address4311 School House Cmns # 174, Harrisburg, NC 28075-7510

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