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

The Support Village LLC

Organization Community/Behavioral Health Agency · NPI 1164218368

The Support Village LLC is a Community/Behavioral Health Agency in Charlotte, North Carolina. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4048 Evelyn Ave
Charlotte, NC 28213-3938
Phone: (980) 240-5713
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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

Record details

NPI number1164218368
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerritt Davis — Owner · (980) 240-5713
NPI enumeratedApril 16, 2025
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025
Mailing address4111e Rose Lake Dr # 8215, Charlotte, NC 28217-2858

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