Healthcare Provider Details

I. General information

NPI: 1629384391
Provider Name (Legal Business Name): NATIKA MONIQUE MCPHERSON PHD, LPCS, NCC, ACS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NATIKA MONIQUE MILLS

II. Dates (important events)

Enumeration Date: 08/19/2010
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9136 MARION OAKS DR
CHARLOTTE NC
28215-2261
US

IV. Provider business mailing address

9136 MARION OAKS DR
CHARLOTTE NC
28215-2261
US

V. Phone/Fax

Practice location:
  • Phone: 704-550-8329
  • Fax:
Mailing address:
  • Phone: 704-550-8329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE2607073
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number9598
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number8187S
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: