MEDICARE: SARA WILKERSON LCMHC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	9408	SC
2	101YM0800X	Mental Health Counselor
3	101YM0800X	Mental Health Counselor	15964	NC

General Provider Information

NPI Number	:	1528677226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA WILKERSON LCMHC

Provider Business Mailing Address
First Line	:	2500 RED BARN LN
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28210-6145
Country	:	US
Telephone Number	:	980-999-0501
Fax Number	:

Provider Business Practice Location Address
First Line	:	5950 FAIRVIEW RD STE 660
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28210-3113
Country	:	US
Telephone Number	:	980-999-0501
Fax Number	:	980-980-5841

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2020
Last Update Date	:	07/28/2025

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Directions to “ SARA WILKERSON LCMHC” Practice Location

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