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Organization

SOUTHPARK PSYCHOTHERAPY PLLC

Active
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Organization

SOUTHPARK PSYCHOTHERAPY PLLC

Active
Other names
SouthPark Psychotherapy
Organization subpart
No

Provider details

NPI number
Authorized official
SARA ELIZABETH WILKERSON LCMHC (COUNSELOR AND OWNER)
(980) 999-0501
Entity
Organization

Contact information

Practice address
5950 FAIRVIEW RD STE 770, CHARLOTTE, NC 28210-3142
(980) 999-0501
(980) 980-5841
Mailing address
5950 FAIRVIEW RD STE 770, CHARLOTTE, NC 28210-3142
(980) 999-0501
(980) 980-5841

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—

Other

Enumeration date
12/19/2022
Last updated
07/15/2026
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