Individual provider · Type 1 NPI

Jennifer Lyash

Mental Health Counselor · Waxhaw, NC

NPI number 1376409201 Active

Practice location

108 Blythe Mill Rd
Waxhaw, NC 28173-0466

Call (984) 212-0028 Map

Mailing address

1647 Loggerhead Dr
Lancaster, SC 29720-0394

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1376409201

Jennifer Lyash's National Provider Identifier is 1376409201, issued on Jan 5, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waxhaw, NC. The record was last updated on Jan 5, 2026.