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

Maya Domoto, LPC

Individual provider Social Worker · NPI 1477852150

Maya Domoto, LPC is a Social Worker in Charlotte, North Carolina. Licensed in California and North Carolina. Registered with an NPI since 2011.

Licensed in
CA, NC
In the registry since
2011
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

5200 Park Rd Ste 218B
Charlotte, NC 28209
Phone: (866) 700-1606
Fax: (866) 338-5921
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C012094 (NC)
Social Worker Taxonomy 104100000X · Licence 67137 (CA)

Record details

NPI number1477852150
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedMarch 21, 2011
Last updated in NPPESNovember 29, 2019

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