Healthcare Provider Details

I. General information

NPI: 1619148566
Provider Name (Legal Business Name): DANA LEIGH OVERCASH LCMHC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2008
Last Update Date: 12/31/2024
Certification Date: 12/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16930 W CATAWBA AVE STE 102
CORNELIUS NC
28031-5640
US

IV. Provider business mailing address

110 AQUA DR
MOORESVILLE NC
28117-9694
US

V. Phone/Fax

Practice location:
  • Phone: 704-799-5479
  • Fax: 704-799-5479
Mailing address:
  • Phone: 704-799-5479
  • Fax: 704-799-5479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number2768
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2768
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: