Provider Demographics
NPI:1285861518
Name:WYCHE, MARGARET E (MA, LPC, LCAS, CCS)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:E
Last Name:WYCHE
Suffix:
Gender:F
Credentials:MA, LPC, LCAS, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5200 PARK RD STE 108
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-3675
Mailing Address - Country:US
Mailing Address - Phone:704-807-3635
Mailing Address - Fax:
Practice Address - Street 1:5200 PARK RD STE 108
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28209-3675
Practice Address - Country:US
Practice Address - Phone:704-807-3635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-12
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5160101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor