Healthcare Provider Details

I. General information

NPI: 1902731003
Provider Name (Legal Business Name): THE HEALING CHAPTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 MOCKINGBIRD LN STE 420
CHARLOTTE NC
28209-3236
US

IV. Provider business mailing address

1235 EAST BLVD STE E
CHARLOTTE NC
28203-5876
US

V. Phone/Fax

Practice location:
  • Phone: 860-253-2449
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JODECI OQUENDO
Title or Position: COUNSELOR
Credential: LCMHC
Phone: 860-253-2449