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NPI Code Detail

MEDICARE: MRS. LISA LENERE ADAMS LCMHCS, LCAS

MEDICARE: MRS. LISA LENERE ADAMS LCMHCS, LCAS
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
1101YP2500XProfessional Counselor4933NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811154693
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LISA LENERE ADAMS LCMHCS, LCAS
Provider Business Mailing Address
First Line : 10130 MALLARD CREEK RD STE 300
Second Line :
City : CHARLOTTE
State : NC
Zip : 28262-6001
Country : US
Telephone Number : 336-937-0331
Fax Number : 877-595-1857
Provider Business Practice Location Address
First Line : 10130 MALLARD CREEK RD STE 300
Second Line :
City : CHARLOTTE
State : NC
Zip : 28262-6001
Country : US
Telephone Number : 336-937-0331
Fax Number : 877-595-1857
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2008
Last Update Date : 09/22/2022

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