MEDICARE: EMILY R COUNSELING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YM0800X	Mental Health Counselor
3	101Y00000X	Counselor

General Provider Information

NPI Number	:	1427911361
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMILY R COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	624 TYVOLA RD STE 103-280
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28217-3578
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4928 PARK RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-3506
Country	:	US
Telephone Number	:	470-289-6301
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	EMILY REINER
Credential	:	LPC, LCMHC, RPT
Telephone Number	:	470-289-6301

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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