MEDICARE: MYYA SINGLETARY

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	103TC1900X	Counseling Psychologist	6994	NC

General Provider Information

NPI Number	:	1336098367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MYYA SINGLETARY

Provider Business Mailing Address
First Line	:	900 E BROOKLYN VILLAGE AVE APT 514
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28204-3084
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	447 S SHARON AMITY RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-2836
Country	:	US
Telephone Number	:	704-264-2973
Fax Number	:

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

Provider Enumeration Date	:	01/23/2026
Last Update Date	:	01/23/2026

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