Provider Demographics
NPI:1750813341
Name:LKN COUNSELORS, PLLC
Entity type:Organization
Organization Name:LKN COUNSELORS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CHEVERALLS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, NCC, LPC
Authorized Official - Phone:617-875-2982
Mailing Address - Street 1:PO BOX 995
Mailing Address - Street 2:
Mailing Address - City:DAVIDSON
Mailing Address - State:NC
Mailing Address - Zip Code:28036-0995
Mailing Address - Country:US
Mailing Address - Phone:704-584-9071
Mailing Address - Fax:704-909-4070
Practice Address - Street 1:706 NORTHEAST DR
Practice Address - Street 2:STE 1
Practice Address - City:DAVIDSON
Practice Address - State:NC
Practice Address - Zip Code:28036-7419
Practice Address - Country:US
Practice Address - Phone:704-584-9071
Practice Address - Fax:704-909-4070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-01
Last Update Date:2017-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-3559101YA0400X
NCA10862101YM0800X
NCA12714101YM0800X
NC10507101YM0800X
NC10813101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty