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SYNOVIA PETTICE LCAS
NPI 1679036578
Counselor in Charlotte, NC

Active since April 09, 2019
3815 N TRYON ST, CHARLOTTE, NC 28206(704) 372-8806(704) 372-6920 Get Directions Write a Review

NPPES record last updated: April 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Synovia Pettice Lcas NPPES

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

SYNOVIA PETTICE LCAS (NPI 1679036578) is an individual counselor in Charlotte, North Carolina, licensed in North Carolina (877) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1679036578
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSYNOVIA PETTICECredential: LCAS
Location Address3815 N TRYON STCharlotte, NC 28206-2060
Mailing Address3815 N Tryon StCharlotte, NC 28206-2060 · (704) 372-8806 · Fax (704) 372-6920
Phone(704) 372-8806
Fax(704) 372-6920
Sole ProprietorNo
Enumeration DateApril 9, 2019
✔ NPI 1679036578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in NC · 877
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 877 (NC)
3815 N TRYON ST, Charlotte, NC 28206
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Other Identifiers 1

Medicaid21286NC

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FLAY LEE LCAS #643
Counselor (Addiction (Substance Use Disorder))
3815 N TRYON ST
CHARLOTTE, NC 28206
Mecklenburg County (704) 372-8809
HOPE HAVEN INC
Community Based Residential Treatment Facility, Mental Illness
3815 N TRYON ST
CHARLOTTE, NC 28206
Mecklenburg County (704) 372-8809
HOPE HAVEN, INC.
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
3815 N TRYON ST
CHARLOTTE, NC 28206
Mecklenburg County (704) 372-8809
MR. LEWIS SCOTT CARTER LCAS,HSP-BC
Counselor (Addiction (Substance Use Disorder))
3815 N TRYON ST
CHARLOTTE, NC 28206
Mecklenburg County (704) 372-8809
MR. CHARLES HAYWARD SAMUELS JR. CSAC-21775
Counselor (Addiction (Substance Use Disorder))
3815 N TRYON ST
CHARLOTTE, NC 28206
Mecklenburg County (704) 372-8809
MISS TRECIA MOODIE SCOTT MAC
Counselor (Addiction (Substance Use Disorder))
3815 N TRYON ST
CHARLOTTE, NC 28206
Mecklenburg County (704) 372-8809
KAREN KING LCAS
Counselor (Addiction (Substance Use Disorder))
3815 N TRYON ST
CHARLOTTE, NC 28206
Mecklenburg County (704) 372-8809
KHYSHA LE WISE CSAC
Counselor (Addiction (Substance Use Disorder))
3815 N TRYON ST
CHARLOTTE, NC 28206
Mecklenburg County (704) 372-8809

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 Synovia Pettice's NPI number?

The NPI number for Synovia Pettice is 1679036578. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Synovia Pettice located?

Synovia Pettice practices at 3815 N Tryon St, Charlotte, NC 28206. The listed phone number is (704) 372-8806.

What is Synovia Pettice's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Synovia Pettice was last updated on April 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.