Individual provider · Type 1 NPI

Lydiaelisee Philogene

Mental Health Counselor · Charlotte, NC

NPI number 1093475360 Active

Practice location

8505 Kenbrooke Dr Apt 1402
Charlotte, NC 28262-5633

Call (304) 894-5987 Map

Mailing address

7319 Matthews Mint Hill Rd
Mint Hill, NC 28227-7594

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA23216 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1093475360

Lydiaelisee Philogene's National Provider Identifier is 1093475360, issued on Dec 28, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charlotte, NC. The record was last updated on Aug 25, 2026.