MEDICARE: NO LIMIT THERAPY AGENCY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103TC1900X	Counseling Psychologist
2	103TC2200X	Clinical Child & Adolescent Psychologist
3	103TP2701X	Group Psychotherapy Psychologist
4	1041C0700X	Clinical Social Worker
5	106H00000X	Marriage & Family Therapist
6	101Y00000X	Counselor
7	101YP2500X	Professional Counselor
8	103TA0700X	Adult Development & Aging Psychologist
9	103TB0200X	Cognitive & Behavioral Psychologist
10	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1174472716
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NO LIMIT THERAPY AGENCY, LLC

Provider Business Mailing Address
First Line	:	10130 MALLARD CREEK RD STE 343
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-6000
Country	:	US
Telephone Number	:	336-358-6182
Fax Number	:	888-323-4404

Provider Business Practice Location Address
First Line	:	10130 MALLARD CREEK RD # 343
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-6000
Country	:	US
Telephone Number	:	336-358-6182
Fax Number	:	888-323-4404

Authorized Official
Title or Position	:	DIRECTOR
Name	:	KEISHA GRANT
Credential	:
Telephone Number	:	336-358-6182

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	01/27/2026

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