Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tina Lathan Boyer, LCAS-A, LCMHCA

Individual provider Counselor · NPI 1669035267

Tina Lathan Boyer, LCAS-A, LCMHCA is a Mental Health Counselor in Charlotte, North Carolina. Qualified in 2021, 5 years ago. Practices with Second Chance Behavioral Health, a 10-clinician group. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2019
Specialties on file
4
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Practice location Address checks out

5200 Park Rd Ste 218B
Charlotte, NC 28209-3650
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

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 20469 (NC)
Counselor Taxonomy 101Y00000X · Licence 20469 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence A17068 (NC)
Professional Counselor Taxonomy 101YP2500X · Licence A17068 (NC)

Record details

NPI number1669035267
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCAS-A , LCMHCA
Sole proprietorYes
NPI enumeratedApril 18, 2019
Last updated in NPPESFebruary 14, 2022
Certification dateFebruary 14, 2022

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Second Chance Behavioral Health — 10 clinicians
Accepts Medicare assignment Not indicated

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