Legacy Holistic Therapy PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LEGACY HOLISTIC THERAPY PLLC

Practice address

10215 Hickorywood Hill Ave
Hunterville, NC 28078

Phone

(980) 319-8197

Fax

(980) 734-3473

NPI assigned

Jun 2, 2025

Last updated

Jun 2, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tina Tuttle, LCMHCANPI 1376908574

Title

Owner

Phone

(980) 319-8197

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tina Tuttle, LCMHC

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1376908574
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1023901592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5818 HIGHLAND SHOPPES DR STE C5",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282692654",
            "telephone_number": "980-319-8197",
            "fax_number": "980-734-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 HICKORYWOOD HILL AVE",
            "city": "HUNTERVILLE",
            "state": "NC",
            "postal_code": "28078",
            "telephone_number": "980-319-8197",
            "fax_number": "980-734-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HOLISTIC THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "TUTTLE",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-319-8197",
        "authorized_official_credential": "LCMHCA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond James Haigney II, D.D.S.
• Nicole Parke, PHARMD

• Mental Health Counselor in Hunterville, NC
• Providers in Hunterville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.