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

Sophia Dae Ceravalo

Individual provider Mental Health Counselor · NPI 1588483077

Sophia Dae Ceravalo is a Mental Health Counselor in Indian Trail, North Carolina. Licensed in North Carolina and South Carolina. Registered with an NPI since 2024.

Licensed in
NC, SC
In the registry since
2024
Specialties on file
2

Practice location Address checks out

120 Unionville Indian Trail Rd W Ste 100
Indian Trail, NC 28079-5665
Phone: (704) 438-9901
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence A20522 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence 9053 (SC)

Record details

NPI number1588483077
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 10, 2024
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026

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