Healthcare Provider Details

I. General information

NPI: 1841129558
Provider Name (Legal Business Name): EPIPHANY FAMILY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5801 EXECUTIVE CENTER DR STE 103
CHARLOTTE NC
28212-8870
US

IV. Provider business mailing address

5801 EXECUTIVE CENTER DR STE 103
CHARLOTTE NC
28212-8870
US

V. Phone/Fax

Practice location:
  • Phone: 704-536-6853
  • Fax: 704-445-4582
Mailing address:
  • Phone: 704-536-6853
  • Fax: 704-445-4582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KATY MILLNER-CATHCART
Title or Position: CEO
Credential: MHA
Phone: 704-536-6853