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

Southlake Counseling & Consulting

Organization Clinical Social Worker · NPI 1194864975

Southlake Counseling & Consulting is a Clinical Social Worker in Davidson, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
Specialties on file
3

Practice location Address checks out

903 NE Dr Ste 201
Davidson, NC 28036-7438
Phone: (704) 896-7776
Fax: (704) 896-0992
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C002362 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence C004574 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence C005510 (NC)

Record details

NPI number1194864975
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Krueger — Director · (704) 896-7776
NPI enumeratedFebruary 6, 2007
Last updated in NPPESJune 23, 2009
Mailing address903 Northeast Dr Ste 201, Davidson, NC 28036-7438

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