# SACRED PATH PSYCHIATRY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386564300
- **Authorized official:** KENDRA BLACKWELL (CEO)
- **Authorized official phone:** (803) 417-6325

## Contact information

- **Practice address:** 301 S MCDOWELL ST STE 125-2060, CHARLOTTE, NC 28204-2623
- **Practice address phone:** (803) 417-6325
- **Mailing address:** 1723 VALKRIE PL, YORK, SC 29745-6625
- **Mailing address phone:** (803) 417-6325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/20/2026
- **Last updated:** 07/20/2026