Healthcare Provider Details

I. General information

NPI: 1487378691
Provider Name (Legal Business Name): CHANTELLE MAJOR LCMHC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2022
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8535 CLIFF CAMERON DR STE 100
CHARLOTTE NC
28269-5909
US

IV. Provider business mailing address

2807 SKI TRAIL LN
WAXHAW NC
28173-9327
US

V. Phone/Fax

Practice location:
  • Phone: 704-717-7477
  • Fax: 704-717-7457
Mailing address:
  • Phone: 980-239-0371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: