Healthcare Provider Details

I. General information

NPI: 1306700778
Provider Name (Legal Business Name): DR. LAMEKIA LASHON JARMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11512 GLOWING STAR DR
CHARLOTTE NC
28215-7341
US

IV. Provider business mailing address

11512 GLOWING STAR DR
CHARLOTTE NC
28215-7341
US

V. Phone/Fax

Practice location:
  • Phone: 980-431-9117
  • Fax: 919-590-1875
Mailing address:
  • Phone: 980-431-9117
  • Fax: 919-590-1875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number10757
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: