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

Edwina Denise Polk, LPC

Individual provider Mental Health Counselor · NPI 1104486117

Edwina Denise Polk, LPC is a Mental Health Counselor in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2019
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

10130 Mallard Creek Rd Ste 300
Charlotte, NC 28262-6001
Phone: (704) 320-8766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 11379 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence 11379 (NC)

Record details

NPI number1104486117
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedJune 20, 2019
Last updated in NPPESJune 20, 2019

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