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

Kutota Critical Intervention Services LLC

Organization Mental Health Counselor · NPI 1629767678

Kutota Critical Intervention Services LLC provides Mental Health Counselor services in Charlotte, North Carolina. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1213 W Morehead St Ste 500
Charlotte, NC 28208-5581
Phone: (704) 498-2400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1629767678
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raphael Basisa Ii — Ceo · (704) 498-2400
NPI enumeratedMay 4, 2023
Last updated in NPPESMay 4, 2023
Certification dateMay 4, 2023
Mailing address1213 W Morehead St Ste 500, Charlotte, NC 28208-5581

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