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

Sacred Place Counseling, PLLC

Organization Clinical Social Worker · NPI 1720896764

Sacred Place Counseling, PLLC is a Clinical Social Worker in Charlotte, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
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
Charlotte, NC 28262-6000
Phone: (704) 430-0063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1720896764
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Millington-Joseph — Clinical Social Worker · (704) 430-0063
NPI enumeratedDecember 23, 2024
Last updated in NPPESDecember 23, 2024
Certification dateDecember 23, 2024
Mailing address6838 Silverwood Ln, Charlotte, NC 28215-7010

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