Maya Simone White Ballou, LCAS-A
Maya Simone White Ballou, LCAS-A is an Addiction (Substance Use Disorder) Counselor in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.
- Licensed in
- NC
- In the registry since
- 2026
Practice location Address checks out
6636 E W T Harris BlvdCharlotte, NC 28215-5133
Phone: (704) 553-5392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence LCAS-30724 (NC) |
|---|
Record details
| NPI number | 1699633271 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCAS-A |
| Sole proprietor | Yes |
| NPI enumerated | January 13, 2026 |
| Last updated in NPPES | January 13, 2026 |
| Certification date | January 13, 2026 |
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