MEDICARE: LUCY CARY LPC

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	101YP2500X	Professional Counselor	0701014309	VA

General Provider Information

NPI Number	:	1851952204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUCY CARY LPC

Provider Business Mailing Address
First Line	:	10926 S TRYON ST STE H
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28273-4154
Country	:	US
Telephone Number	:	980-209-9805
Fax Number	:

Provider Business Practice Location Address
First Line	:	9211 FOREST HILL AVE STE 103
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23235-6874
Country	:	US
Telephone Number	:	757-906-3896
Fax Number	:

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

Provider Enumeration Date	:	06/26/2019
Last Update Date	:	01/10/2025

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