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

Mr. Randal Wayne Withers, NCCLCMHCLCAS

Individual provider Mental Health Counselor · NPI 1548656622

Mr. Randal Wayne Withers, NCCLCMHCLCAS is a Mental Health Counselor in Conover, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2015

Practice location Address checks out

715 Fairgrove Church Rd SE Ste 202
Conover, NC 28613-9289
Phone: (828) 201-2778
Fax: (828) 282-0899
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 11110 (NC)

Record details

NPI number1548656622
Entity typeIndividual (Type 1)
GenderMale
Credentials NCCLCMHCLCAS
Sole proprietorYes
NPI enumeratedApril 15, 2015
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025

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