MEDICARE: SOPHIE MAY

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	A22592	NC

General Provider Information

NPI Number	:	1962355461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOPHIE MAY

Provider Business Mailing Address
First Line	:	11030 BLUE HERON DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-4622
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14835 BALLANTYNE VILLAGE WAY STE 225
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-4317
Country	:	US
Telephone Number	:	704-577-4071
Fax Number	:

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

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	02/16/2026

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Directions to “ SOPHIE MAY ” Practice Location

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