Enlightened Counseling and Wellness PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ENLIGHTENED COUNSELING AND WELLNESS PLLC

Practice address

705 S Main St Ste 7
Kannapolis, NC 28081-4915

Phone

(704) 269-8773

NPI assigned

Sep 14, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Halbreonda McNeill Holloway, LCSW

Title

Member/ Organizer

Phone

(704) 224-3077

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly W Middlebrooks, MSW, LCSWA

  • Clinical Social Worker
  • Kannapolis, NC
  • NPI 1689487472
  NPD

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1427770684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SPENCER LN",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280810012",
            "telephone_number": "704-224-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S MAIN ST STE 7",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280814915",
            "telephone_number": "704-269-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIGHTENED COUNSELING AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "HALBREONDA",
        "authorized_official_middle_name": "MCNEILL",
        "authorized_official_title_or_position": "MEMBER/ ORGANIZER",
        "authorized_official_telephone_number": "704-224-3077",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ellerbe, R.N.,B.S.N.
• Linda Ellis, COTA/L
• Robert Daniel Ellis Jr., MA, LMFT
• Shelby Renee England, OTR/L
• Okwuchukwu Chinonso Eniang, LCSWA
• Hillary Eppihimer, LCSW
• Jennifer Erdin, MD
• Donald Eubanks
• Mary Lee Evans, LMFT
• Julie A Evers, RPH

• Clinical Social Worker in Kannapolis, NC
• Providers in Kannapolis, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.