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

Dominicka Whitaker, LCAS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1265961619

Dominicka Whitaker, LCAS 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

Practice location Address checks out

12365 Bluestem Ln
Charlotte, NC 28277
Phone: (201) 540-6512
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCAS-23562 (NC)

Record details

NPI number1265961619
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCAS
Sole proprietorYes
NPI enumeratedJune 8, 2017
Last updated in NPPESMarch 20, 2023
Certification dateMarch 20, 2023

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