# INTENTIONAL STEPS COUNSELING SERVICES, PLLC

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

## Provider details

- **NPI number:** 1902500812
- **Authorized official:** SHERRONDA BANKS LCSWA (FOUNDER/CLINICAL DIRECTOR)
- **Authorized official phone:** (704) 726-0644

## Contact information

- **Practice address:** 701 ATANDO AVE STE L, CHARLOTTE, NC 28206-1902
- **Practice address phone:** (704) 726-0644
- **Mailing address:** 8811 LEGACY PARK DR APT J, CHARLOTTE, NC 28269-9627
- **Mailing address phone:** (704) 726-0644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |

## Other

- **Enumeration date:** 03/27/2023
- **Last updated:** 03/28/2023