Organization
SACRED PATH PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA BLACKWELL PMHNP (OWNER)
(803) 417-6325
Entity
Organization
Contact information
Practice address
301 S MCDOWELL ST STE 125, CHARLOTTE, NC 28204-0031
(803) 417-6325
Mailing address
1723 VALKRIE PL, YORK, SC 29745-6625
(803) 417-6325
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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