MEDICARE: DEEANNAH MARIE LANNING LCMHCA, NCC,

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	A20072	NC

General Provider Information

NPI Number	:	1316788771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEEANNAH MARIE LANNING LCMHCA, NCC,

Provider Business Mailing Address
First Line	:	9472 S NC HIGHWAY 150
Second Line	:
City	:	LINWOOD
State	:	NC
Zip	:	27299-9457
Country	:	US
Telephone Number	:	704-985-3812
Fax Number	:

Provider Business Practice Location Address
First Line	:	18 COURT SQ
Second Line	:
City	:	LEXINGTON
State	:	NC
Zip	:	27292-3351
Country	:	US
Telephone Number	:	704-985-3812
Fax Number	:

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

Provider Enumeration Date	:	06/01/2024
Last Update Date	:	01/25/2025

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