Savannah Katherine Raynor, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

00240 Issued in NC

Practice address

700 East Blvd Ste 1
Charlotte, NC 28203-5156

Phone

(704) 980-3082

Fax

(704) 980-3082

NPI assigned

Nov 28, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Savannah Katherine Lese Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1316657679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 EAST BLVD STE 1",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035156",
            "telephone_number": "704-980-3082",
            "fax_number": "704-980-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 EAST BLVD STE 1",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035156",
            "telephone_number": "704-980-3082",
            "fax_number": "704-980-3082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8050 Corporate Center Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282264594",
            "country_code": "US",
            "telephone_number": "803-526-7768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYNOR",
        "first_name": "SAVANNAH",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "00240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAVANNAH",
            "last_name": "LESE",
            "middle_name": "KATHERINE",
            "prefix": "MRS.",
            "credential": "LMFTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sandra Hope Raymore, MD
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• Raynald L. Desameau DMD PLLC IV
• Julie Sweet Rayner, CRNA
• Amy Beth Raz, M.D.
• Sammy Razik, M.D
• Yousra Razik
• Rdest DDS PLLC III
• Rdest, DDS,PLLC IV

• Marriage & Family Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.