Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lily Angeliki Mudry, LCMHCS, LCAS, CCS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1366755282

Lily Angeliki Mudry, LCMHCS, LCAS, CCS is a Mental Health Counselor in Charlotte, North Carolina. Qualified in 1994, 32 years ago. Practices with Mccd Fl Psychiatry Services PA, a 729-clinician group and accepts Medicare assignment. Licensed in Florida and North Carolina.

Years since qualifying
32
Licensed in
FL, NC
In the registry since
2010
Specialties on file
5
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Practice location Address checks out

1942 E Seventh St Ste 220
Charlotte, NC 28204-2418
Phone: (704) 227-0610
Fax: (704) 227-0690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence S7638 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 2923 (FL)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-1717 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence MH8494 (FL)
Professional Counselor Taxonomy 101YP2500X · Licence CCS-564 (NC)

Record details

NPI number1366755282
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHCS , LCAS , CCS
Sole proprietorNo
NPI enumeratedJuly 20, 2010
Last updated in NPPESJanuary 12, 2024
Certification dateJanuary 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice McCd Fl Psychiatry Services Pa — 729 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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