# INNER REST COUNSELING, PLLC

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

## Provider details

- **NPI number:** 1992505697
- **Authorized official:** GINA R JOHNSON (PRACTICE MANAGER)
- **Authorized official phone:** (854) 245-0184

## Contact information

- **Practice address:** 318 KATONAH AVE, CHARLOTTE, NC 28208-4318
- **Practice address phone:** (854) 245-0184
- **Practice address fax:** (980) 303-2682
- **Mailing address:** 11 PARKLANDS DR UNIT 1737, BLUFFTON, SC 29910-5193
- **Mailing address phone:** (854) 245-0184
- **Mailing address fax:** (980) 303-2682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2025
- **Last updated:** 03/13/2025