Lorenza Lamont Wyatt

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A21135 Issued in NC

Practice address

411 Dolley Madison Rd
Greensboro, NC 27410-5142

Phone

(336) 663-6570

NPI assigned

Mar 4, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1407654742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 NATHAN HUNT RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274103309",
            "telephone_number": "804-243-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 DOLLEY MADISON RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274105142",
            "telephone_number": "336-663-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "LORENZA",
        "middle_name": "LAMONT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A21135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance Wulff, MSW, LCSW
• Laura Wulff, LCSW
• James O Wyatt, MD
• John Thompson Bruton Wyatt, PHD
• Kathryn P. Wyatt, PH.D.
• Madison Wyatt, LCSWA
• Reagan Elizabeth Wyatt, BSN, RN
• Clara Wynn, MD
• Geneva Wynn
• Adrienne Windham Wyssbrod, RN

• Mental Health Counselor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.