Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charlie Randolph Taylor Jr., MA, LCASA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1619416906

Charlie Randolph Taylor Jr., MA, LCASA is an Addiction (Substance Use Disorder) Counselor in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2017
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

517 Clanton Rd
Charlotte, NC 28217
Phone: (704) 332-9001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 22826 (NC)

Record details

NPI number1619416906
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LCASA
Sole proprietorYes
NPI enumeratedFebruary 20, 2017
Last updated in NPPESFebruary 20, 2017

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