Active NPI
She Heals Journey PLLC
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1619668902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- SHE HEALS JOURNEY PLLC
- Practice address
- 6801 English Hills Dr Apt 1B
Charlotte, NC 28212-7952 - Phone
- (704) 288-6945
- NPI assigned
- May 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tahiyya Martin, LCMHC
- Title
- Owner
- Phone
- (704) 288-6945
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | Primary | ||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
6801 English Hills Dr Apt 1B
Charlotte, NC 28212-7952
Mailing address
6801 English Hills Dr Apt 1B
Charlotte, NC 28212-7952
National Provider Directory
National Provider DirectoryLocations
5820 E Wt Harris Blvd
Ste 105
Charlotte, NC 28215
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684281600000",
"number": "1619668902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6801 ENGLISH HILLS DR APT 1B",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282127952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 ENGLISH HILLS DR APT 1B",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282127952",
"telephone_number": "704-288-6945"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHE HEALS JOURNEY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-17",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "TAHIYYA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-288-6945",
"authorized_official_credential": "LCMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.