Healthcare Provider Details

I. General information

NPI: 1427911361
Provider Name (Legal Business Name): EMILY R COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4928 PARK RD
CHARLOTTE NC
28209-3506
US

IV. Provider business mailing address

624 TYVOLA RD STE 103-280
CHARLOTTE NC
28217-3578
US

V. Phone/Fax

Practice location:
  • Phone: 470-289-6301
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: EMILY REINER
Title or Position: OWNER
Credential: LPC, LCMHC, RPT
Phone: 470-289-6301