Individual provider · Type 1 NPI
Lily Angeliki Mudry, LCMHCS, LCAS, CCS
Mental Health Counselor · Charlotte, NC
NPI number
1366755282
Active
Practice location
1942 E Seventh St Ste 220
Charlotte, NC 28204-2418
Fax (704) 227-0690
Mailing address
5800 Executive Center Dr. 101
Charlotte, NC 28212-8859
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2923 (FL) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-1717 (NC) |
| Mental Health Counselor | 101YM0800X | MH8494 (FL) |
| Professional Counselor | 101YP2500X | CCS-564 (NC) |
| Mental Health Counselor Primary | 101YM0800X | S7638 (NC) |
Mental Health Counselor: Definition to come...
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About NPI 1366755282
Lily Angeliki Mudry, LCMHCS, LCAS, CCS's National Provider Identifier is 1366755282, issued on Jul 20, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charlotte, NC. The record was last updated on Jan 12, 2024.