Provider Demographics
NPI:1164921524
Name:LAUREN DORNELL NEAL, LPC, LCAS, CH
Entity Type:Organization
Organization Name:LAUREN DORNELL NEAL, LPC, LCAS, CH
Other - Org Name:WELL BEING TRANSITIONS COUNSELING AND CONSULTING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/COMMUNITY COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:DORNELL NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCAS, CH
Authorized Official - Phone:980-355-2260
Mailing Address - Street 1:PO BOX 38706
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28278-1012
Mailing Address - Country:US
Mailing Address - Phone:980-355-2260
Mailing Address - Fax:980-643-1258
Practice Address - Street 1:1905 J N PEASE PL STE 202
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-4539
Practice Address - Country:US
Practice Address - Phone:980-355-2260
Practice Address - Fax:980-643-1258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-12
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC930101Y00000X
NCLCAS-2834101YA0400X
NC9301101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty