Provider Demographics
NPI:1083631162
Name:MCEACHIN, LUCY CHARLA (LMFT)
Entity Type:Individual
Prefix:
First Name:LUCY
Middle Name:CHARLA
Last Name:MCEACHIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:CHARLA
Other - Middle Name:MCEACHIN
Other - Last Name:NAPIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:PO BOX 1
Mailing Address - Street 2:
Mailing Address - City:STATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28687-0001
Mailing Address - Country:US
Mailing Address - Phone:704-873-1011
Mailing Address - Fax:704-924-7683
Practice Address - Street 1:503 BROOKDALE DR
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28677-4107
Practice Address - Country:US
Practice Address - Phone:704-873-1011
Practice Address - Fax:704-924-7683
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1216106H00000X
SC3726106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist