# INTRINSIC COUNSELING SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INTRINSIC COUNSELING SERVICES PLLC
- **Other names:** ICS,PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033008982
- **Legal business name:** INTRINSIC COUNSELING SERVICES PLLC
- **Authorized official:** TODDRIC D THOMAS LPN, CPSS (COO)
- **Authorized official phone:** (803) 724-0777

## Contact information

- **Practice address:** 1409 EAST BLVD STE 9B, CHARLOTTE, NC 28203-5817
- **Practice address phone:** (803) 724-0777
- **Practice address fax:** (980) 999-8411
- **Mailing address:** 14345 SAN PAOLO LN BLDG 5, CHARLOTTE, NC 28277-3378
- **Mailing address phone:** (803) 724-0777
- **Mailing address fax:** (980) 999-8411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 175T00000X | Peer Specialist | — | NULL | — |
| 175T00000X | Peer Specialist | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 07/02/2025
- **Last updated:** 11/14/2025