Healthcare Provider Details

I. General information

NPI: 1487580478
Provider Name (Legal Business Name): DLI COUNSELING AND CONSULTING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 MAURICE ST
MONROE NC
28112-5657
US

IV. Provider business mailing address

537 W SUGAR CREEK RD STE 202
CHARLOTTE NC
28213-6103
US

V. Phone/Fax

Practice location:
  • Phone: 704-629-8963
  • Fax: 704-629-8967
Mailing address:
  • Phone: 704-629-8963
  • Fax: 704-629-8967

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: LADREA R INGRAM
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: EDD, LCMHC, LCAS
Phone: 704-629-8963