MEDICARE: LAUREN WHATLEY MA, LPCA, LCMHCA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	7336	SC
2	101YM0800X	Mental Health Counselor	LCMHCA	NC

General Provider Information

NPI Number	:	1003439225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN WHATLEY MA, LPCA, LCMHCA

Provider Business Mailing Address
First Line	:	105 INVERNESS CT
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27511-5061
Country	:	US
Telephone Number	:	843-303-0426
Fax Number	:

Provider Business Practice Location Address
First Line	:	7404 CHAPEL HILL RD STE A
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27607-5043
Country	:	US
Telephone Number	:	843-608-8538
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2020
Last Update Date	:	07/12/2023

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