Healthcare Provider Details

I. General information

NPI: 1811804602
Provider Name (Legal Business Name): UNVEILING LOVE THERAPY CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 W 18TH S
KANNAPOLIS NC
28081
US

IV. Provider business mailing address

350 GEORGE W LILES PKWY NW STE 160
CONCORD NC
28027-2411
US

V. Phone/Fax

Practice location:
  • Phone: 704-951-7787
  • Fax:
Mailing address:
  • Phone: 704-951-7787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ELSIE AGURS HENDERSON
Title or Position: OWNER/THERAPIST
Credential: LMFT, LCAS
Phone: 704-951-7787