Provider Demographics
NPI:1215473038
Name:MATTHEWS, CHRIS A (LMFT, LCAS, CCS)
Entity type:Individual
Prefix:
First Name:CHRIS
Middle Name:A
Last Name:MATTHEWS
Suffix:
Gender:
Credentials:LMFT, LCAS, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9307 MONROE RD STE P
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28270-1486
Mailing Address - Country:US
Mailing Address - Phone:704-712-1696
Mailing Address - Fax:
Practice Address - Street 1:9307 MONROE RD STE P
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28270-1486
Practice Address - Country:US
Practice Address - Phone:704-712-1696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-18
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLMFT-1917106H00000X
NCNC-22895101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)