MEDICARE: LAUREN DORNELL-NEAL, LPC, LCAS, CH

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	9301	NC
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	LCAS-2834	NC
3	101Y00000X	Counselor	930	NC
4	101YM0800X	Mental Health Counselor	9301	NC

General Provider Information

NPI Number	:	1164921524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAUREN DORNELL-NEAL, LPC, LCAS, CH

Provider Business Mailing Address
First Line	:	521 YOPP RD STE 214-308
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28540-3595
Country	:	US
Telephone Number	:	980-355-2260
Fax Number	:	833-837-7903

Provider Business Practice Location Address
First Line	:	521 YOPP RD STE 214-308
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28540-3595
Country	:	US
Telephone Number	:	980-355-2260
Fax Number	:	833-837-7903

Authorized Official
Title or Position	:	OWNER/COMMUNITY COUNSELOR/ADDICTION
Name	:	LAUREN DORNELL-NEAL
Credential	:	LCMHC, LCPC, LCAS
Telephone Number	:	980-355-2260

Provider Enumeration Date	:	02/12/2018
Last Update Date	:	02/22/2026

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