Organization · NPI-2

Essence Of Life Therapy & Wellness, PLLC

Social Worker, Clinical · Charlotte, NC

NPI number1750184719

StatusActive

Last updated in NPPESMar 27, 2025

Details

NPI: 1750184719
Entity type: Organization (NPI-2)
Legal business name: Essence Of Life Therapy & Wellness, PLLC
Organization subpart: No
Enumeration date: Mar 27, 2025
Certification date: Mar 27, 2025
Last updated: Mar 27, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1041C0700X	Social Worker, Clinical	–	–	Yes
101YM0800X	Counselor, Mental Health	–	–
106H00000X	Marriage & Family Therapist	–	–
163WP0807X	Registered Nurse, Psych/Mental Health, Child & Adolescent	–	–
163WP0809X	Registered Nurse, Psych/Mental Health, Adult	–	–
171M00000X	Case Manager/Care Coordinator	–	–
261QM0850X	Clinic/Center, Adult Mental Health	–	–
261QM0855X	Clinic/Center, Adolescent and Children Mental Health	–	–

Practice location

322 Lamar Ave
Ste 101 #300
Charlotte, NC 28204

Phone 980-224-0427

Mailing address

9532 Brackenview Ct
Charlotte, NC 28214-3201

Phone 980-224-0427

Authorized official

Leslie D Stover
Owner/ Therapist
8039729877

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