Healthcare Provider Details

I. General information

NPI: 1184539710
Provider Name (Legal Business Name): DAPHNE SYKES LCMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10130 MALLARD CREEK RD STE 3002
CHARLOTTE NC
28262-6000
US

IV. Provider business mailing address

10130 MALLARD CREEK RD STE 3002
CHARLOTTE NC
28262-6000
US

V. Phone/Fax

Practice location:
  • Phone: 704-944-3533
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA23355
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: