Healthcare Provider Details

I. General information

NPI: 1871428623
Provider Name (Legal Business Name): LOVING HEARTS MEETS LOVING SOULS ENTERPRISE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1235 EAST BLVD
CHARLOTTE NC
28203-5870
US

IV. Provider business mailing address

1235 EAST BLVD STE E PMB 2110
CHARLOTTE NC
28203-5876
US

V. Phone/Fax

Practice location:
  • Phone: 980-422-7436
  • Fax:
Mailing address:
  • Phone: 980-422-7436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: ERIKA MILLER
Title or Position: OWNER
Credential:
Phone: 980-422-7436