MEDICARE: MRS. CAROLYN LOVETTE LANIER LCMHC

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	103TA0400X	Addiction (Substance Use Disorder) Psychologist	LCAS-28108	NC
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	LCMHC-A	NC
3	101Y00000X	Counselor	18159	NC
4	101YP2500X	Professional Counselor	18159	NC
5	101YM0800X	Mental Health Counselor	18159	NC
6	101YM0800X	Mental Health Counselor	LCMHC-A	NC
7	225C00000X	Rehabilitation Counselor	584887	NC

General Provider Information

NPI Number	:	1699402065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CAROLYN LOVETTE LANIER LCMHC

Provider Business Mailing Address
First Line	:	7206 WATTSDALE AVE
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28216-7664
Country	:	US
Telephone Number	:	704-606-3033
Fax Number	:

Provider Business Practice Location Address
First Line	:	1235 EAST BLVD STE E
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28203-5876
Country	:	US
Telephone Number	:	704-606-3033
Fax Number	:

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

Provider Enumeration Date	:	08/04/2022
Last Update Date	:	03/07/2026

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