Healthcare Provider Details

I. General information

NPI: 1740689538
Provider Name (Legal Business Name): NORTHERN PIEDMONT COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2014
Last Update Date: 02/01/2024
Certification Date: 02/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 OVERHILL DR STE 105
MOORESVILLE NC
28117-8232
US

IV. Provider business mailing address

125 OVERHILL DR STE 105
MOORESVILLE NC
28117-8232
US

V. Phone/Fax

Practice location:
  • Phone: 980-430-9205
  • Fax: 704-799-8949
Mailing address:
  • Phone: 704-651-5124
  • Fax: 704-799-8949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1546
License Number StateNC
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number10164
License Number StateNC

VIII. Authorized Official

Name: TARYN K SWEETING
Title or Position: CO OWNER
Credential: LCMHC
Phone: 704-651-5124