Healthcare Provider Details

I. General information

NPI: 1649107897
Provider Name (Legal Business Name): DR KARA MILD COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1923 SEEFIN CT
INDIAN TRAIL NC
28079-6790
US

IV. Provider business mailing address

1923 SEEFIN CT
INDIAN TRAIL NC
28079-6790
US

V. Phone/Fax

Practice location:
  • Phone: 980-469-9080
  • Fax:
Mailing address:
  • Phone: 980-469-9080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. KARA MILD
Title or Position: OWNER/OPERATOR
Credential: DSW, MSSA, LCSW
Phone: 980-469-9080