Healthcare Provider Details

I. General information

NPI: 1275465270
Provider Name (Legal Business Name): PROSPERROSE COUNSELING & CONSULTING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7810 PINEVILLE MATTHEWS RD STE 7
CHARLOTTE NC
28226-5315
US

IV. Provider business mailing address

13000 S TRYON ST STE F129
CHARLOTTE NC
28278-7652
US

V. Phone/Fax

Practice location:
  • Phone: 704-247-7172
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: TELEDA REED
Title or Position: CEO/CLINICIAN
Credential: LCMHCA
Phone: 704-247-7172