Individual provider · Type 1 NPI

Edwina Denise Polk, LPC

Counselor · Charlotte, NC

NPI number 1104486117 Active

Practice location

10130 Mallard Creek Rd Ste 300
Charlotte, NC 28262-6001

Mailing address

4514 Austin Dekota Dr
Charlotte, NC 28269-2156

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X11379 (NC)
Counselor Primary 101Y00000X11379 (NC)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1104486117

Edwina Denise Polk, LPC's National Provider Identifier is 1104486117, issued on Jun 20, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Charlotte, NC. The record was last updated on Jun 20, 2019.