Provider Demographics
NPI:1104477785
Name:CORREA, CLAUDIA FERNANDES (LMHC)
Entity type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:FERNANDES
Last Name:CORREA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:CLAUDIA FERNANDES
Other - Middle Name:
Other - Last Name:CORREA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCMHC
Mailing Address - Street 1:10926 QUALITY DR # 410711
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28278-8931
Mailing Address - Country:US
Mailing Address - Phone:954-422-3219
Mailing Address - Fax:
Practice Address - Street 1:11 UNION ST S STE 200
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-5098
Practice Address - Country:US
Practice Address - Phone:704-918-9741
Practice Address - Fax:828-270-6213
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-24
Last Update Date:2025-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60948877101YM0800X
NC19274101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health