Lakeshore Counseling and Coaching

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A11341 Issued in NC

Legal business name

LAKESHORE COUNSELING AND COACHING

Practice address

14636 Reese Blvd W
Suite B-2
Huntersville, NC 28078-7946

Phone

(704) 999-0505

NPI assigned

Jul 22, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Darryl Clarence Brown Jr., MA, LPCA, LCASA

Title

Owner/Therapist

Phone

(704) 999-0505

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469145600000",
    "number": "1700239944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14636 REESE BLVD W",
            "address_2": "SUITE B-2",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787946",
            "telephone_number": "704-999-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14636 REESE BLVD W",
            "address_2": "SUITE B-2",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787946",
            "telephone_number": "704-999-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE COUNSELING AND COACHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-07-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "CLARENCE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "704-999-0505",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MA, LPCA, LCASA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A11341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.