Alicia L. Chinlund, MA LPA LPC NCC

Individual provider Active NPI Mental Health Counselor · Sneads Ferry, NC

NPI 1699863761 · NPPES record last updated Feb 4, 2020

Key facts

NPI
1699863761
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
7104 (NC)
Practice address
1995 NC Hwy 172
Unit B
Sneads Ferry, NC 28460
Phone
(910) 327-0800
Fax
(888) 728-0060
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1229NCMDMarriage & Family Therapist
7104NCMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7104 NC
Psychologist 103T00000X 1229 NC
Mental Health Counselor 101YM0800X 7104 NC Yes

Addresses

Primary practice location

1995 NC Hwy 172
Unit B
Sneads Ferry, NC 28460

Mailing address

109 Teal CT
Sneads Ferry, NC 28460
Phone (910) 308-7270

Other identifiers

IdentifierTypeStateIssuer
6107168MedicaidNC

Other names

  • Alicia Lopes Former name

Other providers in Sneads Ferry, NC

All providers in Sneads Ferry, NC · Mental Health Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.