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

Kingdom Creative Counseling PLLC

Organization Mental Health Counselor · NPI 1700313780

Kingdom Creative Counseling PLLC provides Mental Health Counselor services in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1050 Revolution Mill Dr Ste 2
Greensboro, NC 27405-5053
Phone: (336) 543-0159
Fax: (336) 663-2906
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 C007049 (NC)
Professional Counselor Taxonomy 101YP2500X · Licence C007049 (NC)

Record details

NPI number1700313780
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samaria Colbert — Owner · (336) 543-0159
Other names Samaria M Colbert
NPI enumeratedMay 22, 2017
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024
Mailing addressPo Box 14222, Greensboro, NC 27415-4222

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