Provider Demographics
NPI:1891860201
Name:HAVERDILL, BELINDA LYNN (LPC)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:LYNN
Last Name:HAVERDILL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7810 PINEVILLE MATTHEWS RD
Mailing Address - Street 2:SUTIE 6
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-5315
Mailing Address - Country:US
Mailing Address - Phone:704-540-2855
Mailing Address - Fax:704-540-3051
Practice Address - Street 1:7810 PINEVILLE MATTHEWS RD
Practice Address - Street 2:SUTIE 6
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-5315
Practice Address - Country:US
Practice Address - Phone:704-540-2855
Practice Address - Fax:704-540-3051
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3936101YP2500X
OHE-3177101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional