Provider Demographics
NPI:1316657679
Name:RAYNOR, SAVANNAH KATHERINE (LMFT)
Entity type:Individual
Prefix:MRS
First Name:SAVANNAH
Middle Name:KATHERINE
Last Name:RAYNOR
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MRS
Other - First Name:SAVANNAH
Other - Middle Name:KATHERINE
Other - Last Name:LESE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFTA
Mailing Address - Street 1:700 EAST BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-5156
Mailing Address - Country:US
Mailing Address - Phone:704-980-3082
Mailing Address - Fax:704-980-3082
Practice Address - Street 1:700 EAST BLVD STE 1
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5156
Practice Address - Country:US
Practice Address - Phone:704-980-3082
Practice Address - Fax:704-980-3082
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-28
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC00240106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist