Individual
ANNA BREAISHA MAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
4412 PARK RD STE B, CHARLOTTE, NC 28209-3130
(980) 217-6901
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
(855) 284-7483
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15081
NC
101YM0800X
Mental Health Counselor
A1508
NC
101YP2500X
Professional Counselor
A15081
NC
Other
Enumeration date
08/07/2019
Last updated
05/11/2023
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