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

Provisions Counseling Services

Organization Counselor · NPI 1457861072

Provisions Counseling Services is a Counselor in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017
Specialties on file
2

Practice location Address checks out

1000 Baxter St
Charlotte, NC 28204-2859
Phone: (704) 750-0655
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 1484 (NC)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 1484 (NC)

Record details

NPI number1457861072
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shiricka Fair — Executive Director · (704) 750-0655
NPI enumeratedOctober 10, 2017
Last updated in NPPESDecember 6, 2017
Mailing address5115 Mintvale Dr, Charlotte, NC 28269-1689

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