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LAVONNE LENAIR RUSSELL LCASA
NPI 1255090353
Counselor - Addiction (Substance Use Disorder) in Winston Salem, NC

Active since December 16, 2021
408 CROYDON LN, WINSTON SALEM, NC 27107(336) 473-8439 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lavonne Lenair Russell Lcasa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAVONNE LENAIR RUSSELL LCASA (NPI 1255090353) is an individual addiction (substance use disorder) provider in Winston Salem, North Carolina, licensed in North Carolina (26842) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1255090353
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLAVONNE LENAIR RUSSELLCredential: LCASA
Location Address408 CROYDON LNWinston Salem, NC 27107-6810
Mailing Address408 Croydon LnWinston Salem, NC 27107-6810 · (336) 473-8439
Phone(336) 473-8439
Sole ProprietorYes
Enumeration DateDecember 16, 2021
NPPES CertifiedDecember 7, 2021
✔ NPI 1255090353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NC · 26842
408 CROYDON LN, Winston Salem, NC 27107
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lavonne Russell's NPI number?

The NPI number for Lavonne Russell is 1255090353. It was assigned to this individual provider in the NPPES registry on December 16, 2021.

Where is Lavonne Russell located?

Lavonne Russell practices at 408 Croydon Ln, Winston Salem, NC 27107. The listed phone number is (336) 473-8439.

What is Lavonne Russell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Lavonne Russell was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.