Healthcare Provider Details

I. General information

NPI: 1215869920
Provider Name (Legal Business Name): INTERCONNECTING CIRCLES OF STRENGTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 E 3RD ST STE 300
CHARLOTTE NC
28204-3296
US

IV. Provider business mailing address

8833 SEDGEBURN DR
CHARLOTTE NC
28278-8033
US

V. Phone/Fax

Practice location:
  • Phone: 704-605-7939
  • Fax: 704-748-0055
Mailing address:
  • Phone: 704-605-7939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. RONALD WHERRY
Title or Position: CEO/OWNER
Credential:
Phone: 704-605-7939