Individual provider · Type 1 NPI
Anna Taylor Boulware, LCMHC, NCC
Professional Counselor · Cornelius, NC
NPI number
1245940568
Active
Practice location
17115 Kenton Dr Ste 202A
Cornelius, NC 28031-5646
Mailing address
11610 Eastwind Dr
Charlotte, NC 28273-3687
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 15895 (NC) |
Professional Counselor: Definition to come...
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About NPI 1245940568
Anna Taylor Boulware, LCMHC, NCC's National Provider Identifier is 1245940568, issued on Nov 28, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cornelius, NC. The record was last updated on May 30, 2025.