LRD Holdings

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4829 Issued in NC

Legal business name

LRD HOLDINGS

Doing business as

Charlotte Center for Counseling

Practice address

10720 Carmel Commons Blvd
Charlotte, NC 28226-3785

Phone

(704) 904-6875

Fax

(704) 625-3695

NPI assigned

Dec 30, 2015

Organization subpart

No

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

Authorized official

Name

Kimberly Dupuis, LPC

Title

President

Phone

(704) 904-6875

Specialties & licenses 1

Addresses

Other names 1

• Charlotte Center for Counseling Doing business as

Locations

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1841655255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10720 CARMEL COMMONS BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263785",
            "telephone_number": "704-904-6875",
            "fax_number": "704-625-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10720 CARMEL COMMONS BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263785",
            "telephone_number": "704-904-6875",
            "fax_number": "704-625-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LRD HOLDINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "DUPUIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-904-6875",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "4829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlotte Center for Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, 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 Dec 30, 2015; 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.