Healthcare Provider Details

I. General information

NPI: 1184533705
Provider Name (Legal Business Name): SELAH TREE COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9506 CHAPPY CT APT 207
CHARLOTTE NC
28216-0334
US

IV. Provider business mailing address

100 BELLINI DR
CLAYTON NC
27527-5607
US

V. Phone/Fax

Practice location:
  • Phone: 704-659-6946
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: BRIANA JAMES
Title or Position: OWNER/MEMBER
Credential:
Phone: 443-252-0215