MEDICARE: VENUS ELIZABETH KENNEDY 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	101YM0800X	Mental Health Counselor	LAC-13705	AZ
2	101YP2500X	Professional Counselor	12560	NC

General Provider Information

NPI Number	:	1831469022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VENUS ELIZABETH KENNEDY LCMHC

Provider Business Mailing Address
First Line	:	322 LAMAR AVE STE 204
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28204-2436
Country	:	US
Telephone Number	:	704-313-3088
Fax Number	:	704-313-3088

Provider Business Practice Location Address
First Line	:	322 LAMAR AVE STE 204
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28204-2436
Country	:	US
Telephone Number	:	704-313-3088
Fax Number	:	704-313-3088

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

Provider Enumeration Date	:	01/05/2012
Last Update Date	:	06/27/2020

Similar Medicare Providers

1386500320 — DR. BRIAN STEVEN STRAHINE
Practice Location Address:

322 LAMAR AVE STE 209
CHARLOTTE, NC
28204-2436

Practice Phone: 607-592-6636
Practice Fax:

1750692729 — GRACE SANDERS LCSW, MSW
Practice Location Address:

322 LAMAR AVE , UNIT 303
CHARLOTTE, NC
28204-2436

Practice Phone: 980-288-4181
Practice Fax:

1689191983 — NAOMI MATSUI DE LA CRUZ SPENCER
Practice Location Address:

322 LAMAR AVE STE 209
CHARLOTTE, NC
28204-2436

Practice Phone: 704-644-9613
Practice Fax:

1629562301 — STEPHEN J INGERSOLL II
Practice Location Address:

322 LAMAR AVE STE 101
CHARLOTTE, NC
28204-2436

Practice Phone: 980-422-8992
Practice Fax:

1194372029 — NORTHSTAR CLINICAL SERVICES
Practice Location Address:

322 LAMAR AVE STE 220
CHARLOTTE, NC
28204-2436

Practice Phone: 980-237-0401
Practice Fax:

1679114102 — KINTSUGI COUNSELING PROFESSIONAL LIMITED LIABILITY COMPANY
Practice Location Address:

322 LAMAR AVE STE 209
CHARLOTTE, NC
28204-2436

Practice Phone: 704-644-9613
Practice Fax:

Directions to “ VENUS ELIZABETH KENNEDY LCMHC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.