=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487580478
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DLI COUNSELING AND CONSULTING, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/18/2026
-----------------------------------------------------
Last Update Date | 06/18/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 750 MAURICE ST
-----------------------------------------------------
City | MONROE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28112-5657
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-629-8963
-----------------------------------------------------
Fax | 704-629-8967
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 537 W SUGAR CREEK RD STE 202
-----------------------------------------------------
City | CHARLOTTE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28213-6103
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-629-8963
-----------------------------------------------------
Fax | 704-629-8967
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/CLINICAL DIRECTOR
-----------------------------------------------------
Name | LADREA R INGRAM
-----------------------------------------------------
Credential | EDD, LCMHC, LCAS
-----------------------------------------------------
Telephone | 704-629-8963
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------