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

Individual provider Mental Health Counselor · NPI 1730714163

Sandra Lourdes Mayta, LCMHC, NCC is a Mental Health Counselor in Statesville, North Carolina. Qualified in 2019, 7 years ago. Practices with Integrative Wellness Solutions PLLC, a 139-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2020
What do these letters mean?
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

1450 Fern Creek Dr
Statesville, NC 28625
Phone: (704) 237-4240
Fax: (704) 821-0844
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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 15608 (NC)

Record details

NPI number1730714163
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC , NCC
Sole proprietorNo
NPI enumeratedMarch 5, 2020
Last updated in NPPESJuly 12, 2022
Certification dateJuly 12, 2022

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Integrative Wellness Solutions Pllc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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