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

Provisions Counseling Services

Organization Counselor · NPI 1457861072

Provisions Counseling Services provides Counselor services in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017
Specialties on file
2

Practice location Address checks out

1000 Baxter St
Charlotte, NC 28204-2859
Phone: (704) 750-0655
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 1484 (NC)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 1484 (NC)

Record details

NPI number1457861072
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shiricka Fair — Executive Director · (704) 750-0655
NPI enumeratedOctober 10, 2017
Last updated in NPPESDecember 6, 2017
Mailing address5115 Mintvale Dr, Charlotte, NC 28269-1689

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