Ericka Genesis Jarvis, M.S., LCMHC
Counselor, Mental Health in Charlotte, NC. Individual provider (NPI-1).
NPI number1669904009
StatusActive
Last updated in NPPESOct 5, 2026
Details
- NPI
- 1669904009
- Entity type
- Individual (NPI-1)
- Name
- Ericka Genesis Jarvis
- Credential
- M.S., LCMHC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2017
- Certification date
- Oct 5, 2026
- Last updated
- Oct 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 20501 | NC | Yes |
| 101YP2500X | Counselor, Professional | 12115 | SC |
Practice location
4412 Park Rd Ste BCharlotte, NC 28209-3130
Phone 631-416-1319
Mailing address
4412 Park Rd Ste BCharlotte, NC 28209-3130
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