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NPI Code Detail

MEDICARE: VICTORIA HARTWELL LCMHCA

MEDICARE:   VICTORIA  HARTWELL  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
1101YM0800XMental Health CounselorA21462NC

General Provider Information

NPI Number : 1316821549
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA HARTWELL LCMHCA
Provider Business Mailing Address
First Line : 6632 WANNAMAKER LN
Second Line :
City : CHARLOTTE
State : NC
Zip : 28226-8314
Country : US
Telephone Number : 828-337-5002
Fax Number :
Provider Business Practice Location Address
First Line : 6845 FAIRVIEW RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-3363
Country : US
Telephone Number : 704-750-0835
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2025
Last Update Date : 12/09/2025

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Directions to “ VICTORIA HARTWELL LCMHCA” Practice Location

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