NPIMap

Organization Active NPI

Precious Health and Wellness Spa Inc

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1740131176
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PRECIOUS HEALTH AND WELLNESS SPA INC
Practice address
2945 Derita Ave
Charlotte, NC 28269-3019
Phone
(404) 542-0704
NPI assigned
Feb 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Authorized official

Name
Ms. Precious Stephens KellyNPI 1124738943
Title
Owner and Operator
Phone
(404) 542-0704

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Rehabilitation PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TR0400X
Developmentally Disabled Services Day Training Agency 251C00000X

Addresses

Primary practice location

2945 Derita Ave
Charlotte, NC 28269-3019

Mailing address

2945 Derita Ave
Charlotte, NC 28269-3019
Phone (404) 542-0704

National Provider Directory

National Provider Directory
Tax ID family
Precious Health and Wellness Spa Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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": "1770076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1740131176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 DERITA AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693019",
            "telephone_number": "404-542-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 DERITA AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693019",
            "telephone_number": "404-542-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS HEALTH AND WELLNESS SPA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "PRECIOUS",
        "authorized_official_middle_name": "STEPHENS",
        "authorized_official_title_or_position": "OWNER AND OPERATOR",
        "authorized_official_telephone_number": "404-542-0704",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "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 Feb 3, 2026; 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.