Crown Awakening PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CROWN AWAKENING PLLC

Practice address

1515 Mockingbird LN Ste 360
Charlotte, NC 28209-1172

Phone

(704) 831-1999

NPI assigned

Nov 9, 2022

Organization subpart

No

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

Authorized official

Name

Meagan Bullock, LCSWNPI 1851642169

Title

Owner/Manager

Phone

(704) 831-1999

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Meagan Marie Bullock, LCSWA

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1851642169
  NPD Authorized official

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1891403754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16934",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282976934",
            "telephone_number": "704-831-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 MOCKINGBIRD LN STE 360",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282091172",
            "telephone_number": "704-831-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN AWAKENING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "MEAGAN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "704-831-1999",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Amy Crowe, LCMHC
• Carolyn Crowley Correll, DDS
• Brayden Crowley
• Rachel Myers Crowley, M.A., CCC-SLP
• Todd E Crowley, DDS
• Crown City Chiropractic and Wellness PLLC
• Crown Clinic PA
• Crown Counseling & Consulting, PLLC
• Crown King Therapy LLC
• Crown Legacy Supportive Servicesllc

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, 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 Nov 9, 2022; 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.