Provider Demographics
NPI:1316788771
Name:LANNING, DEEANNAH MARIE (LCMHCA, NCC,)
Entity type:Individual
Prefix:
First Name:DEEANNAH
Middle Name:MARIE
Last Name:LANNING
Suffix:
Gender:F
Credentials:LCMHCA, NCC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9472 S NC HIGHWAY 150
Mailing Address - Street 2:
Mailing Address - City:LINWOOD
Mailing Address - State:NC
Mailing Address - Zip Code:27299-9457
Mailing Address - Country:US
Mailing Address - Phone:704-985-3812
Mailing Address - Fax:
Practice Address - Street 1:18 COURT SQ
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27292-3351
Practice Address - Country:US
Practice Address - Phone:704-985-3812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-01
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA20072101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health