Provider Demographics
NPI:1598144560
Name:DUNNING, LUCINDA (LCMHCS)
Entity Type:Individual
Prefix:
First Name:LUCINDA
Middle Name:
Last Name:DUNNING
Suffix:
Gender:F
Credentials:LCMHCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10801 JOHNSTON RD STE 115
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-7855
Mailing Address - Country:US
Mailing Address - Phone:678-677-2502
Mailing Address - Fax:
Practice Address - Street 1:10801 JOHNSTON RD STE 115
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-7855
Practice Address - Country:US
Practice Address - Phone:704-237-0230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-24
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NC11350101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health