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

Anita Sheryll Wiley-Holman, LCMHC

Individual provider Mental Health Counselor · NPI 1861852261

Anita Sheryll Wiley-Holman, LCMHC is a Mental Health Counselor in Concord, North Carolina. Qualified in 2013, 13 years ago. Practices with Thriveworks Clinical - North Carolina PC, a 111-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
13
Licensed in
NC
In the registry since
2016
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6012 Bayfield Pkwy # 214
Concord, NC 28027-7597
Phone: (980) 259-0855
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • Po Box 748465, Atlanta, GA 30374-8465 — (855) 284-7483

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 11993 (NC)

Record details

NPI number1861852261
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC
Sole proprietorYes
NPI enumeratedFebruary 26, 2016
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Thriveworks Clinical - North Carolina Pc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Concord