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

Southpark Psychotherapy PLLC

Organization Mental Health Counselor · NPI 1679285043

Southpark Psychotherapy PLLC is a Mental Health Counselor in Charlotte, North Carolina. Registered with an NPI since 2022.

In the registry since
2022
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

5950 Fairview Rd Ste 770
Charlotte, NC 28210-3142
Phone: (980) 999-0501
Fax: (980) 980-5841
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1679285043
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sara Wilkerson — Counselor And Owner · (980) 999-0501
Other names Southpark Psychotherapy
NPI enumeratedDecember 19, 2022
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026
Mailing address5950 Fairview Rd Ste 770, Charlotte, NC 28210-3142

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