Healthcare Provider Details

I. General information

NPI: 1255235925
Provider Name (Legal Business Name): STELLIUM COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

704 CROSS TRAIL DR
CHARLOTTE NC
28204-2057
US

IV. Provider business mailing address

704 CROSS TRAIL DR
CHARLOTTE NC
28204-2057
US

V. Phone/Fax

Practice location:
  • Phone: 704-481-6126
  • Fax:
Mailing address:
  • Phone: 704-481-6126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: KATRINA CEE GRIFFIS CAUBLE
Title or Position: OWNER/ SOLE PRACTITIONER
Credential: LCMHC, NCC
Phone: 704-756-0405