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

One Love Community Program Inc

Organization Counselor · NPI 1134584626

One Love Community Program Inc is a Counselor in Charlotte, North Carolina. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5701 Executive Center Dr Ste 350
Charlotte, NC 28212-8862
Phone: (704) 567-9800
Fax: (866) 577-8514
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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
Counselor Taxonomy 101Y00000X
Internal Medicine Physician Taxonomy 207R00000X
Psychiatry Physician Taxonomy 2084P0800X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1134584626
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alicia Johnson — Executive Director · (704) 307-7073
NPI enumeratedDecember 28, 2015
Last updated in NPPESMarch 1, 2022
Certification dateMarch 1, 2022
Mailing address5701 Executive Center Dr, Suite 350, Charlotte, NC 28212-8862

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