Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southlake Counseling & Consulting

Organization Clinical Social Worker · NPI 1194864975

Southlake Counseling & Consulting provides Clinical Social Worker services in Davidson, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
Specialties on file
3

Practice location Address checks out

903 NE Dr Ste 201
Davidson, NC 28036-7438 Not confirmed with CMS for 17 years — call before visiting
Phone: (704) 896-7776
Fax: (704) 896-0992
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C002362 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence C004574 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence C005510 (NC)

Record details

NPI number1194864975
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Krueger — Director · (704) 896-7776
NPI enumeratedFebruary 6, 2007
Last updated in NPPESJune 23, 2009
Mailing address903 Northeast Dr Ste 201, Davidson, NC 28036-7438

Other providers in Davidson