Healthcare Provider Details

I. General information

NPI: 1346987773
Provider Name (Legal Business Name): MICHAEL JAMES SETTEPANI LCMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2022
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4672 EBERT RD
WINSTON SALEM NC
27127-8716
US

IV. Provider business mailing address

200 E 2ND AVE
GASTONIA NC
28052-4358
US

V. Phone/Fax

Practice location:
  • Phone: 704-874-9005
  • Fax:
Mailing address:
  • Phone: 704-874-1900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number22247
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: